Order Form for 
"A Pictorial History" Book

Compiled and Annotated by Joyce M. Tice & Stephen M. Orner

Please fill out form below and return with a check or money order payable to "Sesquicentennial Committee."

Mail to: Anne Lavancher
501 North Hall
Mansfield University
Mansfield, PA 16933

# of Pictorial History Books Ordered @ $15/each

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I would like my book(s) shipped to the following address:

$ 4.60 Priority Shipping

$ 2.15 Book/Media Rate Shipping

$ Total Amount Enclosed