EAGLE HISTORICAL SOCIETY & MUSEUMS
P.O. Box 23, Eagle, Alaska 99738
Tel. & Fax 907-547-2325

ORDER FORM
You may FAX, PRINT & MAIL -or- CALL with credit card number.
We accept Mastercard, Visa and Discover cards.

Name
Street address
City State/Prov.
Zip/Postal Code Country
Home Phone E-mail
QTY. DESCRIPTION SIZE COLOR PRICE
POSTAGE & HANDLING RATES   TOTAL
Up to $10.00.........add $5.00   POSTAGE & HANDLING
$10.01 to 25.00..............6.50   TOTAL ENCLOSED
25.01 to 40.00................8.00      
40.01 to 60.00..............12.00 FOR CREDIT CARD PURCHASE ---  
60.01 to 80.00..............15.00 CARD NO.    
80.01 to 100.00............18.00      
Over 100.00.................25.00 EXPIRATION DATE:    
    Rates above apply to 50 United States      
and US Territories.  For other shipping NAME PRINTED ON CARD:    
addresses, an additional shipping      
charge might be incurred to meet CARDHOLDER SIGNATURE:    
actual costs, and we will contact you      
for authorization prior to shipping. DATE:    
Shipping/Handling rates do not apply      
to memberships, gifts, newsletter      
back issues or raffle tickets.      
   Eligible EHSM members in good      
standing receive a discount equal to      
10% of merchandise.      
 
 
   

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