OrderForm

Publication Order Form

First Name: Last Name:

Street: City:

State: Zip:

Telephone:- Email:

Quantity

Books Ordered

Price Each

Total

Add $2.50 postage for first book ordered and $1.00 for each additional book. (Mailed in Continental U.S. Only) Exception: Include $3.50 for each Marriage Index ordered.
Total Amount Due
Send Order with Payment to:
Patricia Harris
LaPorte County Indiana Genealogical Society
504 Greenwood Avenue
Michigan City, IN 46360-5426

Directions for using order form:

This form can be used in one of two different ways.