ORDER FORM
CREOLE HERITAGE POSTER & T-SHIRT

TO:               Louisiana Creole Heritage Center
                    NSU Box 5675
                    Natchitoches, LA  71497

FROM:         ___________________________________________
                            Name
                    ___________________________________________
                           Address
                    ___________________________________________
                           City, State, Zip

                      POSTER
                            QTY  ____________ x  $10.00 =            __________

                      T-SHIRT
                     QTY  ____________ x  $15.00 =            __________    SIZE(S) L_____ XL _____ XXL ______

                     Shiping - Add $1.50 for ea. 3 ordered           ____________

                                                        TOTAL ENCLOSED            _____________


                        NOTE:   Make all checks payable to S.A.H.S.

St. Augustine Historical Society (S.A.H.S.) is a non-profit, 501(c)(3) organization and all purchases from the Society are considered donations and tax deductible.
THANKS FOR YOUR SUPPORT