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PUBLICATION ORDER FORM

Enclose check and mail to:
Decatur Genealogical Society P O BOX 1548
Decatur, Illinois 62525-1548

NAME________________________________________________________________

ADDRESS_____________________________________________________________

CITY__________________________STATE_________________ZIP_____________

E-MAIL ADDRESS_____________________________________________

ITEMS with Postage & Handling included (Marked with ** on list)  COST
____________________________________________________ _______
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              TOTAL COST OF ITEMS with P & H included:               _______ (1)


PUBLICATIONS WHERE POSTAGE & HANDLING MUST BE ADDED

                                                                                                 PAGES        COST
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1pp to 150ppadd $2.00
151pp to 350ppadd $3.00
351pp to 550ppadd $4.00
551pp to 750ppadd $5.00
751pp to 950ppadd $6.00
each add'l 100ppadd $1.00
TOTAL COST of ITEMS with P & H ADDED_________(2)

PLUS POSTAGE & HANDLING
Total pages ______Use Chart at left ;		_________(3)

TOTAL AMOUNT ENCLOSED
____________
Add items 1,2,3

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