Order Form

Item                          Quantity                 Price             S/H                   Tax

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                                          TotalPrice _______

                                          Total S/H  _______

                                          Total Tax*_______

                                          Grand Total:  ____________

                                           Note:   *Tax - New York State Residents Only!

Print Out and mail to:

Washington County Historical Society

167 Broadway

Fort Edward,  NY  12828

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