Date _________________________
Name____________________________________
Address__________________________________
City/State/Zip______________________________
Phone number or e-mail address (in case we have questions about
your order) _______________________________________
Please print clearly when filling out the order form below:
| Quantity |
Title or Item |
Unit Price |
Total Price |
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Subtotal |
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Member Discount
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-10% |
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See Below
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Shipping |
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+8.4% Tax |
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Total |
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Mail this order form with payment to:
Jefferson County Historical Society
540 Water Street
Port
Townsend, WA 98368For credit card orders please call (360) 385-1003
