dingbat3
P U B L I C A T I O N    O R D E R   F O R M
dingbat3

Ordered by:

Name ___________________________________

Address _________________________________

City / State / Zip __________________________

Phone __________________________
Ship to:

Name ___________________________________

Address _________________________________

City / State / Zip __________________________

Phone __________________________

dingbat3
Title
__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

Handling ($3.50 for books, $1.50 for 1st magazine $.50 for each additional magazine)

Quantity
_____

_____

_____

_____

_____

Price Each
__________

__________

__________

__________

__________

7% tax
Subtotals
__________

__________

__________

__________

__________

__________

__________

__________
TOTAL

_____ Payment enclosed for $ _________________________

_____ Charge to _____ Visa _____ Mastercard

Card Number ____________________________ Expiration Date ________________

Signature ________________________________
dingbat3

Print out ( adjust your browser’s Page Setup as needed ) and complete this form.
Mail to the address below or order by phone by calling
( 651 ) 222 ~ 0701 or email research@rchs.com


dingbat3

RCHS arthead

323 Landmark Center, 75 West Fifth Street
Saint Paul, Minnesota. 55102
Phone: (651) 222-0701, Fax: (651) 223-8539

dingbat3
Return to the Ramsey County Historical Society Home page or Publications page
dingbat3
RCHSpuborder v.1.4 / January 31, 200
4