Ye Olde Genealogie Shoppe ©
ORDER FORM

To print this form choose FILE then PRINT.
Call us at 1-800-419-0200 or fax the completed order form to 1-317-862-2599 or mail it to us at:

Ye Olde Genealogie Shoppe - P.O. Box 39128 - Indianapolis, IN 46239

Please include your TELEPHONE NUMBER in the box at the bottom of the form, in case we have a question concerning your order.
Buyers Name
Ship To Name (if different)
Address
Address
City
State
Zip
City
State
Zip
Quantity
Name of Item
Price
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. . .
. . .
. . .
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For your payment convenience: We accept personal checks, travelers checks, money orders, Visa, MasterCard, American Express and Discover.

To process a credit card we MUST have your name as it appears on the card & your telephone number.

Please do not send cash.

Sorry, no C.O.D.'s.
Total price of items
.
Shipping/Handling
Whether you order 1 or 101 books,
our standard S/H charge is only $5 (Institution's, contact us for your rates)
$5.00
Applicable Sales Tax for
IL, IN, MI, MN & OH
.
Total Enclosed (U.S. Funds Only)
 .
Credit Card Information
CREDIT CARD #
Expiration Date
Signature
Telephone Number and E-mail address
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