Lansing Historical Association Order Form

To order, print this form on your printer by clicking the printer icon at the upper right.  The form will appear in a new window.  Click the printer icon in that window to print the form.  Fill it out and mail it along with your check to:

Lansing Historical Association
P.O. Box 100
Lansing, NY 14882-0100

 

Name ___________________________________________________________________    Address  _______________________________________________________________    Item No.        Item Description     Quantity  Price each    Total Price    ___________  ________________________  _____  ____________  ____________    ___________  ________________________  _____  ____________  ____________    ___________  ________________________  _____  ____________  ____________    ___________  ________________________  _____  ____________  ____________    ___________  ________________________  _____  ____________  ____________    ___________  ________________________  _____  ____________  ____________  Postage and Handling  $2.00 first item, $.25 each additional item                 ____________                                               Total            ____________    Make checks payable to Lansing Historical Association.  Mail order to:  Lansing Historical Association  P.O. Box 100  Lansing, NY 14882-0100                   Total enclosed $_______________