Broad River Genealogical Society, Inc.
PUBLICATION
ORDER FORM
|
Name |
|
|||||||||
|
Street Address |
|
|||||||||
|
City |
|
State |
|
Zip + 4 |
|
|||||
|
Phone |
|
FAX |
|
E-mail |
|
|||||
Please list items in order of priority in case something is temporarily out of print or stock. Allow 4 - 6 weeks for delivery.
|
Quantity |
Description |
Cost Postpaid |
Total |
|||
|
|
|
|
|
|||
|
|
|
|
|
|||
|
|
|
|
|
|||
|
|
|
|
|
|||
|
|
|
|
|
|||
|
|
|
|
|
|||
|
|
|
|
|
|||
|
|
|
|
|
|||
|
|
|
|
|
|||
|
|
|
|
|
|||
|
|
←
Total Quantity |
|
|
|||
|
Please make checks payable to Broad
River Genealogical Society. |
Balance due → |
|
||||
For office use only…
|
Date order received |
|
Date order shippped |
|
|
Date check posted |
|
Shipped by |
|
|
Check posted by |
|
Posted to inventory |
|