OrderForm

Publication Order Form

First Name: Last Name:

Street: City:

State: Zip:

Telephone:- Email:

Quantity

Books Ordered

Price Each

Total

Add 3.00 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

and $5.00 for each In Court in LaPorte: ordered.

Total Amount Due

Send Order with Payment to:

Patricia Harris

LaPorte County Indiana Genealogical Society

504 Greenwood Avenue

Michigan City">

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Publication Order Form

First Name:    Last Name:

Street: City:
                                              State: Zip:

Telephone:-         Email:

Quantity
Books Ordered

Price Each

Total

Add $3.00 postage for first book ordered and $1.00 for each

additional book. (Mailed in Continental U.S.A. only) Exception: include $3.50 for each Marriage Index and $5.00 for each In Court in La Porte 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.

Simply print this form and fill in necessary information by hand; or

Type in your complete information and then print out the completed form.