Order Form
Print this form and mail with check payable to
Hayden Historical Museum to PO Box 58 Hayden, Indiana 47245
|
Item
|
Description
|
Quantity
|
Unit Cost
|
Total
|
|
01
|
"President Nixon was Here" Video |
$20.00
|
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|
02
|
Center of Gravity T-Shirt Adult Sizes |
$10.00
|
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|
Small___ .
. Medium___ . . Large___
. . X-Large___ .
. XX-Large___
|
||||
|
03
|
Hayden Spirit T-shirt
Adult Sizes
|
$10.00
|
||
|
Small___ .
. Medium___ . . Large___
. . X-Large___ .
. XX-Large___
|
||||
|
04
|
Hayden History Book -Sorry, sold out- |
----
|
$20.00
|
----
|
|
05
|
School Prints |
$5.00
|
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|
06
|
Museum Membership Individual |
$15.00
|
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|
07
|
Museum Membership Family |
$20.00
|
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|
08
|
Museum Membership Business/Organ. |
$25.00
|
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|
09
|
Museum Membership Lifetime |
$250.00
|
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|
Shipping per Video
|
$2.50
|
|||
|
Shipping per Shirt
|
$2.00
|
|||
|
Shipping per Book
|
$2.50
|
|||
|
Shipping per Print
|
$1.25
|
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|
Make Check Payable to:
Hayden Historical Museum Inc. PO Box 58, Hayden, IN 47245 |
Total enclosed
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