SESQUICENTENNIAL BOOK ORDER FORM
Sesquicentennial Pictorial History Book Order Form
Name
Address
Shipping Address
Phone E-Mail
Today's date
Number of books ordered at $25.00 each = $ ____________
$30.00 after April 15, 2018
Shipping and handling $7.00 for one book = $ ____________
$10.00 for two or more books shipped to the same address
No shipping charge if you plan to pick up the book at the museum.
Total Paid --------------------------------------------- $ ________________
Please makes checks payable to the Seymour Community Historical Society.
All mail ordered books must be paid in advance.
Send this form along with your payment to:
Seymour Community Historical Society
P. O. Box 237
Seymour, WI 54165