Gratiot County Historical & Genealogical Society
PUBLICATION ORDER FORM
Please use your computer's printer to print this form, and send by postal service.
NAME(S):___________________________________________
ADDRESS:__________________________________________
CITY:__________________________________________STATE:_______
COUNTRY:_________POSTAL or ZIP CODE:______________
PHONE:___________________FAX:___________________
E-MAIL:__________________________________________
WWW ADDRESS (with Gratiot Co. Ancestors):_
http://
__________________________________
Make checks or money order payable to: Gratiot Co. Historical and Genealogical Society or "GCHGS"
Membership Type
Price
Title
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Book Total
Michigan Residents add MI 6% Tax
add Mailing
Subtotal
add Membership
Total Paid
SEND ORDER FORM AND CHECK OR MONEY ORDER TO:
Gratiot County Historical and Genealogical Society
P.O. Box 73
Ithaca, MI 48847
FOR MORE INFORMATION:
Lorna Sebring - 1 (989) 681-3120 or Willard Wilson - 1 (989) 463-3837
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THANK YOU!