Riverside, Farnsley-Moremen Landing-Museum Store

Riverside Museum Store - Order Form

Mail your order to:

Riverside Museum Store Orders
Riverside, the Farnsley-Moremen Landing
7410 Moorman Road
Louisville, KY 40272
Phone: (502) 935-6809 Fax: (502) 935-6821*
* Faxed orders must be paid by Visa or Mastercard.

Name___________________________________________________________

Address_________________________________________________________

City_______________________________State_____ Zip Code___________

Phone (___)__________

Quantity	Code Letter	Description	Price

Merchandise Total: ________________

Shipping/Handling*: ________________ ( *Add $4.00 to first item and $1.00 to each additional item. )

* Kentucky residents please add 6% sales tax to purchase.

Total: ________________

I am enclosing a check for $__________ made payable to: Riverside, the Farnsley-Moremen Landing.

Charge my Visa or Mastercard (circle one) for $__________

Account Number:____________________ Expiration Date:________

Signature:____________________________