Ship To:

Name:         ___________________________________________

Address:         ___________________________________________

City, ST, Zip: ___________________________________________


Back issues from 1978 available. Please inquire at history1880@alltel.net or our mailing address about availability of other Quarterlies prior to placing an order.

Cost is $5.00 plus $6.00 shipping and handling for EACH back issue ordered.

Quarterly Issue [date/year/volume]	____________________________________________________________ Price $11.00 [$5.00 + $6.00]
Quarterly Issue [date/year/volume]	____________________________________________________________ Price $11.00 [$5.00 + $6.00]
Quarterly Issue [date/year/volume]	____________________________________________________________ Price $11.00 [$5.00 + $6.00]
Quarterly Issue [date/year/volume]	____________________________________________________________ Price $11.00 [$4500 + $6.00]
Quarterly Issue [date/year/volume]	____________________________________________________________ Price $11.00 [$5.00 + $6.00]
Total Amount Enclosed	____________________________________

Equals $11.00X number of Issues ordered



Mail this order form along with Check or Money Order for total amount to:

                Carroll County Historical and Genealogical Society, Inc.
                                                    P. O. Box 249
                                            Berryville, AR  72616-0249

Phone: 870 423-6312
Email: history1880@alltel.net

Order form printed from: http://www.rootsweb.com/~arcchs/ordercchsqt.html