GREATER DOVER HISTORICAL SOCIETY, INC.
 
P. O. Box 303
Dover, PA 17315-1506
 
BILLING INFORMATION SHIP TO (Leave blank if same as billing)  
First Name: First Name:
Last Name: Last Name:
No Delivery to P. O. Boxes No Delivery to P. O. Boxes
Address:    Address: 
City: City:
State: State:
Zip Code: Zip Code;
Home Phone: (          ) - Home Phone: (          ) -
e-mail address:   
PRODUCTS TO ORDER (use additional sheet if needed)
 
Qty Item # Description Unit Price Ttl Price  
           
           
           
           
           
           
           
           
           
           
           
           
           
           
    Merchandise Total:      
    Pa Residents Only - Add 6% Sales Tax:      
           
    Will be shipped by UPS -  Rates According to Area      
           
    TOTAL AMOUNT OF ORDER:      
MAIL & PAYABLE TO :  
Greater Dover Historical Society, Inc.  
P. O. Box 303  
Dover, PA 17315-1506