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Order Form

 

Name of Publication ................................................................................................Price

____________________________________________________________________ $_____________

 

____________________________________________________________________ $_____________

 

____________________________________________________________________ $_____________

 

____________________________________________________________________ $_____________

 

...................................................................................................Total Price $ ______________

Check with LQM for postage amount ............................................. Postage ......$_______________

Tele: (319) 258-2000 or lewellingquakermuseum@gmail.com

..........................................................................................Total with Postage $_______________

 

Your Name_________________________________________________________________

Address ____________________________________________ CIty___________________

State __________________________ Zip Code ___________________________________

Mail To: Lewelling Quaker Museum, P. O. Box 245, Salem, Iowa 52649