Name:_____________________________________________ Phone:________________________
Address:_________________________________________________________________________
City, State, Zip:___________________________________________________________________
Address which you wish to receive your order if different from above:
Name:________________________________________________________ Is this a gift? ________
Address:_________________________________________________________________________
City, State, Zip:____________________________________________________________________
I would like to order the following books (continue on a separate sheet if necessary):
Title
Author
# of copies
Price per book
Total price
Postage and handling (add $2.50 for first book and $1.00 for each additional book) __________
TOTAL: ___________
____ Please charge my VISA/MasterCard: # ___________________________ Exp. Date _______
____ Enclosed is a check (NO CASH) payable to American Swedish Historical Museum
Prices and availability subject to change without notice. You will be notified
if your order cannot be filled for any reason. Orders will be shipped by US Postal Service
Book Rate. If you wish to have your order sent via First Class/Priority Mail or overseas,
please call for postage & handling fees. Orders must be prepaid.
Please send this order form with payment to:
ASHM Museum Store, 1900 Pattison Ave., Philadelphia, PA 19145-5901 or fax to 215-389-7701