Minisink Valley Historical Society
GIFT SHOP ORDER
FORM
ORDER NO. DESCRIPTION QUANTITY PRICE
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
SUBTOTAL $________________
(Sorry, this does not apply to T-shirts, Sweatshirts and Memberships)
SHIPPING & HANDLING $5.95 / 11.95 to outside the U.S.
(Add .95 for each additional item)
Add 8.125% Sales Tax
TOTAL $________________
SHIP TO:
NAME: ______________________________________________________
ADDRESS: ___________________________________________________
CITY, STATE, ZIP CODE: _________________________________________
TELEPHONE NUMBER: __________________________________________
Please make your check or money order payable to:
Minisink Valley Historical Society
Send order form to:
Minisink Valley Historical Society
Sales Dept.
PO Box 659
Port Jervis, NY 12771