History-Sites.Com
MAIL ORDER FORM
Date:________________________
| Qty. |
Product |
Unit Price |
Price |
| The McGavock Confederate Cemetery by Eric A Jacobson |
$19.95 |
||
|
Shipping & Handling:
|
3.50 |
||
|
Total Amount of this Order: |
Shipping Address:
| Your Name (please print) | |
| Street Address | |
| City, State Zip | |
| Email: | |
| Daytime Telephone | |
| Fax |
Please enclose a check or money order for the total of your order including shipping & handling costs.
PLEASE MAKE ALL CHECKS & MONEY ORDERS PAYABLE TO "HISTORY-SITES.COM".
Please print, fill-out and mail this form with your payment to
:History-Sites.Com
3415 Havenbrook Drive
Suite 1502
Kingwood, TX 77339