The West Hartford Art League, Inc. 
A Regional Center for the Visual Arts

Breadit Card Order Form

Please mail this form to 
WHAL 
37 Buena Vista Road
West Hartford CT 06127-0727
by February 28, 2002

If paying by credit card you may fax the complete
form to (860) 131-0317

Your card will be mailed to you within two weeks.

 Please send me _____ Breadit Cards from Montana Mills.

Name________________________________________

Street Address__________________________________

Town_________________________________________

State _________________Zip Code____________

Payment:

o MC      o Visa    o Discover/Novus    o Check

Card Number ______________________Exp. Date______

Signature (if charging)

Updated Tuesday, July 01, 2008