Name ______________________________
Date _________________________
Address ____________________________
Phone _________________________
____________________________
Qty
Description
Unit
Extended
Subtotal
Shipping
TOTAL
Please include the following amount for shipping:
$4 for 1-2
books
$5 for 3 books
$6 for 4-5 books
$7 for 6+ books
Mail order form along with payment to:
Rehoboth Antiquarian Society
PO Box 2
Rehoboth, MA 02769