GASTON LINCOLN GENEALOGICAL SOCIETY
PO Box 584
Mount Holly NC 28120-0584

MATERIAL ORDER FORM

Name .
Street Address .
City . State . Zip + 4 .
Phone . FAX . E-mail .

Please accept my order for the following books or material. I have listed my items in order of priority in case something is temporarily out of print. Allow 2 - 3 weeks for delivery.

Quantity Materials Ordered Cost Total
. . $ $
. . $ $
. . $ $
. . $ $
. . $ $
. . $ $
. . $ $
. . $ $
. . $ $
. . $ $
. . $ $
Shipping & Handling: $5.00 - 1st Book, $1.50 each additional Book Total Shipping/Handling $

Total Quantity ______ Balance Due $_____________________

Please make check or money order payable to: Gaston Lincoln Genealogical Society
Thank you for your order!


For office use only:
Date order received ____________ Date order shipped ____________
Shipped by ______________________________________________