Historical and Genealogical Society
of Indiana County
621 Wayne Avenue
Indiana, PA 15701-3072

ORDER FORM

 

Item Name(s)

Price

Qty

 
1.  $ X _____ = $
2. $ X _____ = $
3. $ X _____ = $
4. $ X _____ = $
5. $ X _____ = $


Subtotal = $___________

Pennsylvania residents, please add 6% sales tax___________

+ Shipping = $___________

Total Amount Enclosed = $___________



We accept Visa and MasterCard with the following info:

Type of card
16-digit account number
Expiration date
Please specify item name and quantity desired when placing your order.

Shipping is USPS only.

Rates are as follows and must be included with
your payment at time of order:

 
Cost of Merchandise Shipping Fee
Up to $40.00   
$40.01 - $60.00 
$60.01 - $80.00 
$80.01 - $100.00
$100.01 - $150.00
$150.01 - $200.00
$200.01 - $300.00
Over $300.00
$5.00
$6.00
$7.00
$8.00
$9.00
$10.00
$11.00
$12.00