Minersville Area Historical Society - Shop Order Form

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Shop Order Form

 

To place your order, print this form, fill it out

and mail it with your check or money order to:

MINERSVILLE AREA HISTORICAL SOCIETY

100-102 S. Third Street,

MINERSVILLE, PA. 17954

 

Please fill in your contact information below:

 NAME _______________________________

 ADDRESS ____________________________

 ___________________________________

 PHONE ______________________________

 E-MAIL ______________________________

 Please add $6 postage per shirt / USPS.

FOR CONFIRMATION OF CHARGES CONTACT:

Dora at  minershistory@gmail.com   570-544-9482

 

THANK YOU FOR YOUR ORDER!


Select your items below:

Member Golf Shirt  

LG _____  $20 each

XL  _____ $20 each

XXL _____ $22 each

XXXL ____ $22 each 

Total $ ___________  

 ~~~~~~~~~~~~~~~~~~~~~~~~

Minersville T-shirt

@ $10 each

SM     _____ 

MED   _____ 

LG     _____

XL     _____ 

Total  $ ________ 

 ~~~~~~~~~~~~~~~~~~~~~~~~~

Christmas Card $1 

______   $ _______

Subtotal $______

+ Postage $ 6.00 

TOTAL  $ ______