ORDER FORM FOR CREOLE HERITAGE POSTER

CANE RIVER COMMUNITY OF ISLE BREVELLE, LOUISIANA

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

St. Augustine Historical Society
P. O. Box 39 Melrose, LA 71456
(318)357-0602
webmaster: colsonj@cp-tel.net