Stephenson County Historical Society Gift Shop Order Form

Please send your payment with your order to:
Stephenson County Historical Society
1440 South Carroll Avenue
Freeport, IL 61032

Name: Day Phone:

Address: Evening Phone:

City, State, Zip Code:

E-Mail Address:   

Item Description

Number

Price Each

Total

If your total is:	Shipping charge is:
$0.50 to $10.00	$7.00
$21.00 to $40.00	$10.00
$41.00 to $65.00	$12.00
Over $65.00	Please call

Total Merchandise	$
Shipping Charge (see table at left)	$
Total Enclosed	$

Thank you for your order! Click here to return to the gift shop.