Cairo’s Hometown Heroes
Pre-Order Form
Each book is $50.00 plus $4.00 sales tax and $5.00 shipping. Local pick up available.
Pre Orders are due by June 30, 2016
Name: _______________________________________________________
Address: _____________________________________________________
Phone: ________________________ Email: ________________________
Quantity Ordered: ________
Donation Method:
____ Cheque made payable to the Cairo Historical Society
____ VISA ____
MasterCard _____ Discover
Card Number: ____________________ Exp. Date: ________ CID ______
Name as it appears on the credit card: ______________________________
Signature: ____________________________________________________
Please return your completed form along with
payment method to: Cairo Historical Society, PO Box 803, Cairo, NY 12413,
Attention: Cairo’s Hometown Heroes Book
The Cairo Historical Society is a 501(c)3 non profit organization.
Cairo Historical Society Main Page Cairos Hometown Heroes Book