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Pottawattamie County Genealogical Society

Order Form 2003-2004

Ordered By

 

Name

 

Address

 

City, State, ZIP

 

Phone (optional)

 

E-Mail Address (optional)

 

Ship To (if different than above)

 

Name

 

Address

 

City, State, ZIP

 
   

Item Ordered

Price Each

How Many

Total

 

 

   

 

     
       
       
       
       
       
       

Merchandise Total (from above)

 

Shipping (please see Publications page)

 

TOTAL AMOUNT DUE

 

 

Postage and handling charges quoted are per item.  The price drops if you order more than one item.  Please email the PCGS for quotes..

Make check or money order payable to:

PCGS

P.O. Box 394

Council Bluffs, IA  51502-0394

Thank you for your order!


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