ORDER FORM

SEND BOOK ORDER FORM to: Historical Data Services 14 Clark Street Glens Falls, NY 12804 Name_________________________________ Address_______________________________ City______________ State_____ ZIP_______ Town of Argyle Price $30.00 Qty.____ Total__________ Town of Cambridge Price $36.00 Qty.____ Total__________ Towns of Dresden and Putnam Price $20.00 Qty.____ Total__________ Town of Easton Price $23.00 Qty.____ Total__________ Town of Fort Ann Price $28.00 Qty.____ Total__________ Town of Fort Edward* Price $48.00 Qty.____ Total__________ Town of Greenwich Price $30.00 Qty.____ Total__________ Town of Hampton Price $12.00 Qty.____ Total__________ Town of Hartford Price $28.00 Qty.____ Total__________ Town of Hebron. Price $28.00 Qty.____ Total__________ Towns of Jackson and Whitecreek Price $25.00 Qty.____ Total__________ Town of Kingsbury Price $30.00 Qty.____ Total__________ Town of Salem Price $34.00 Qty.____ Total__________ Town of WhitehallLimited reprint Price $38.00 Qty.____ Total__________ The Jenkins family* Price $32.00 Qty.____ Total__________ The Spalding Report* Price $32.00 Qty.____ Total__________ Spalding Report Supplement Price $18.00 Qty.____ Total__________ The Rush Report* Price $45.00 Qty.____ Total__________ The John Moore Family in America* Price $36.00 Qty.____ Total__________ Sperbeck Family in America* Price $48.00 Qty.____ Total__________ Chester Folks Price $22.00 Qty.____ Total__________ Eugene, Missouri Price $12.00 Qty.____ Total__________ Subtotal  $_____________ Postage   $_____________ (If Appropriate)Sales Tax   $_____________ Total for Order $ ____________ Add $3.00 postage for first book, $1.50 for each additional. *Postage is $5.00 for Fort Edward, Spalding, Moore, Jenkins, Rush and Sperbeck books. Send check or money order. No credit cards or open accounts. New York State residents add appropriate Sales Tax.