History-Sites.Com
324 Knollwood Ave., Fairhope, AL 36532-7263
E-Mail: sales@history-sites.com

MAIL ORDER FORM

             Date:________________________

Product
1) Compiled Military Service Record (Conf) $26.95
2) Compiled Military Service Record (Union) $29.95
3) Pension Application File (Conf) $26.95
4) Pension Application File (Union) $67.95
5) Combo CMSR & Pension File (Conf) $48.90
6) Combo CMSR & Pension File (Union) $93.00

Soldier's Full Name

Soldier's Unit Info

Price

       
       
       
       
       
       
       
       

Postage and Handling: CMSR (Union & Conf) and Pension (Conf) =$2.00; Combo (Conf) = $3.00; Pension & Combo (Union) =$6.50  Shipping at the rates above is only applicable for first or most expensive item ordered. 
Each additional item is charged at $1.00 for Shipping & Handling.  (i.e., if you order two pension files the first is charged at $6.50 for S&H and the second at $1.00 for a total of $7.50)

  

Subtotal:

 

Texas Residents must add 8.25% Sales Tax

  

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 and Texas state sales tax, if you are a Texas resident.

PLEASE MAKE ALL CHECKS & MONEY ORDERS PAYABLE TO "James W. Martin, dba HISTORY-SITES.COM".

Please print, fill-out and mail this form with your payment to :

History-Sites.Com
324 Knollwood Avenue
Knollwood, AL  36532-7263