|
Gifts From Silverton |
|
Silverton, Colorado |
|
San Juan County Historical Society |
|
Please print this page, fill out form and make your check out to: SJCHS
To pay by credit card, complete credit card information below.
Mail to: San Juan County Historical Society, Box 154, Silverton, CO 81433 |
|
To contact us: |
|
San Juan County Historical Society P.O. Box 154 Silverton, Colorado 81433 |
|
Copyright © San Juan County Historical Society |
|
ITEM |
COST |
POSTAGE (EACH) |
NUMBER OF ITEMS |
TOTAL |
|
ART |
200.00 (UNTIL 1-1-08) |
5.00 |
|
|
|
T-SHIRT |
18.00 |
0.00 |
|
|
|
SILVERTONIAN YEARBOOKS |
20.00 |
5.00 |
Grad Year: |
|
|
SINGLE ORAL HISTORY CD |
25.00 |
5.00 |
|
|
|
DOUBLE ORAL HISTORY CD |
45.00 |
5.00 |
|
|
|
|
|
|
|
|
|
Please complete for shipping information: |
|
Name: |
|
Address:
|
|
City: |
|
State: |
|
International: |
|
Country: |
|
Zip/Postal Code: |
|
Phone: |
|
Email: |
|
|
|
If paying by Credit Card: |
|
Name on the card: |
|
Type of Card (Visa only): |
|
Card Number: |
|
Expiration Date: |