SCHS BOOK & GIFT SHOP PAYMENT FORM - Print & Submit

                               Item                                  *Price Including s&h                       x 1.08 to add NY sales tax 



















                                                                                                                                                                
     *Members enter (Price, including s&h only if to be mailed) x 0.9 to apply discount    Total of above   =  $____ .___


          [  ]  Enclosed is my check payable to Schenectady County Historical Society .

 
          or

  [  ]  Please charge my :        [  ] Mastercard               [  ] Visa 

                                      

   Account Number _ _ _ _- _ _ _ _-_ _ _ _-_ _ _ _                                                 

 

   Expiration Date ( MM / YYYY )     __ __/__  __  __  __

 

   Signature______________________________________________________

 

                

                        Mail to SCHS, 32 Washington Avenue, Schenectady, NY 12305
                        or call in your credit card order to (518) 374-0263
                        or fax form with credit card information to (518) 688-2825

                                                                                                                                                                  3/5/2008