Washington County, NY Historical Society
ORDER FORM

Print out and fill in the enclosed form

Make checks payable to: Washington County Historical Society or WCHS
Send to: 167 Broadway, Fort Edward, NY 12828
Note: Members can receive a 10% discount

Stock no. Title How Many? Unit Price Total
         
         
         
         
         
         
Ship To:   Sub Total  
Name: 10% Member Disc.  
Address:  Shipping & Handling  
Address cont'd Plus NYS sales Tax  
 City: State: Zip: Total Amount due  

Shipping and Handling charges : $3.50 for first item, $1.00 for each additional item