Adams Historical Society
Gift Shop Order Form
Item
Quantity
Size
Price Each
Subtotal

Historical Society T-shirt (M-L-XL-XXL)

    
$10.00
  

In This Valley by Eugene Michalenko

    
$5.00
  

Set of 4 Notecards with Envelopes

    
$3.00
  

Boys of Bob's Hill by Charles Pierce Burton

    
$9.00
  

1974-2021 Searchable AHS Newsletters pdf Flash Drive

    
$10.00
  

Shipping & Handling on above items only

    
Shipping & Handling
$5.00

Gift Membership to the Society (student)

    
$3.00
  

Gift Membership to the Society (individual)

    
$5.00
  

Gift Membership to the Society (family)

    
$10.00
  

Gift Membership to the Society (contributing)

    
$25.00
  

Gift Membership to the Society (supporting)

    
$50.00
  

Gift Membership to the Society (patron)

    
$100.00
  

Contribution to the Society (tax deductible)

    
$ ______
  
     
TOTAL
  
 

Name

  

Address

  

City, State, Zip

  
 

SPECIAL INSTRUCTIONS:

 

 
 

Please print this form and mail with check or money order payable to Adams Historical Society to:

Adams Historical Society
92 Park Street
Adams, MA 01220