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