JEFFERSON COUNTY GENEALOGICAL SOCIETY PUBLICATION ORDER FORM

Publications Order Form 

Name_____________________________________________ 

Address___________________________________________ 

City__________________State__________Zip___________ 

Quantity               Title                           Total 

_______        ____________________________          __________ 

_______        ____________________________          __________ 

_______        ____________________________          __________ 

_______        ____________________________          __________ 

_______        ____________________________          __________ 

                                       + 7% Sales Tax = __________

                                       plus P. + H.  = __________

                                                Total = __________ 

Postage and Handling for orders are calculated as follows: 

$1.00 - $10.00 = $2.50 postage 

$10.01 - $25.00 = $3.50 postage 

$25.01 - $40.00 = $4.50 postage 

$40.01 - $55.00 = $5.50 postage

$55.01 - $70.00 = $6.50 postage

PRINT OUT THIS FORM, PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO JCGS, AND SEND TO: 

        Jefferson County Genealogical Society 

        P.O. Box 163 

        Fairbury, Nebraska 68352-0163 

Thank you for your order!