Order Form

Rothermel Heritage and Families in America

Make check payable to: Rothermel Family

Send payment to:

            Rothermel Family Association
            L.Kehl Rothermel
            326 Exeter Street
            Devon, PA 19333


Amount sent $ ________
Date sent ____________
rothermelfamilyassociation.org

Keep upper portion for your records
Cut here -----------------------------------------------------------------------------------------

Please mail ___ copy (ies) of the 81/2 by 11 book at $98.87 each.

Please mail ___ copy (ies) of the 6 by 9 book with CD at $64.37 each.

My check for $ ____________ is enclosed, payable to the "Rothermel Family."

PLEASE PRINT THE INFORMATION BELOW CLEARLY

Your Name: _________________________________________________

Street Address: __________________________________________________

City or Town ________________________________ State ______ ZIP _____

Phone: ___________________________

E-mail: ___________________________