Home To www.ushsdolls.com
"REMEMBER THE LADIES"
RESERVATION FORM

Yes, please reserve my Florence Nightingale doll, the first issue of the "Remember the Ladies" collection. I am guaranteed the original issue price for the other dolls in the collection which I will receive at the rate of one doll every other month. I understand that each of my hand-painted, fully dressed dolls will have my personal registration number and will be gift-boxed with a numbered Certificate of Authenticity. With my fourth doll, I will receive a free cherry display cabinet and a 28-page illustrated provenance booklet. I may return any doll within 30 days if not completely satisfied. I may cancel my subscription at any time.

My original issue price for Florence Nightingale is $45 and $4 shipping and handling, for a total of $49.50.

Date

Name:

Shipping Address:

City: State: Zipcode:

Phone Number: Fax Number:
E-Mail Address:

Check enclosed for: $

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. You may print out this reservation form and mail it to us or fax it to: 804-739-2276.)
ITEM DESCRIPTIONUnit PriceQuantityShipping and
Handling		VA Residents add
4.5% sales tax		TOTAL
"Remember the Ladies"
First Issue is Florence Nightingale*		 $45.00 $4.50

PRINT OUT AND FAX THIS ORDER FORM TO
(804) 739-2276
Or Call (804) 739-1198
Or Mail to: Art Dept/USHS
14714 Midship Woods Ct.
Chesterfield, VA 23832
Make checks payable to The United States Historical Society

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.

Back | Home