Washington County, NY Historical Society
ORDER FORM

Print out and fill in the enclosed form
Make checks payable to: Washington County Historical Society
Send to: 167 Broadway, Fort Edward, NY 12828

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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, $.50 for each additional item