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ONLINE ORDER FORM

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* means required field must be filled in.

*Date:

*Name:
*Shipping Address:

*City: *State: *Zipcode:

*Phone Number: Fax Number:
*E-Mail Address:

Charge to: VISA MasterCard American Express
*Card number:
*Expiration date:


(Filling out this form does not automatically create an order. Use it for manually entering data only.)

ITEM DESCRIPTION Unit Price Quantity Shipping and
Handling
VA Residents add
4.5% sales tax
TOTAL
Clara Barton Doll $145.00 $10.00


PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.


If you would rather fax in the order
or call, please click here.

Free Examination Policy of the United States Historical Society.
You may examine any order for 30 days. If, for any reason, you decide not to keep it, you may return it for a full and unquestioned refund.

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email: dolls@ushsdolls.com