Morse's General Store Order Form
Please fill out and submit this form with your payment in US dollars. Info on this form will remain confidential.
Name   Phone  
Address   Email  
City/State   Zip+4  
ITEM  QTY    PRICE TOTAL
Lapel Pin   @ $10.00=  

Tee Shirt [Morse]
     youth  S  M  L  adult  S  M  L  XL
Tee Shirt [Moss]
     youth S  M  L  adult S  M

   @ $13.50=

@ $13.50=

  

Tee Shirt [Moss]  reduced
     adult   L  XL

   @ $10.00=  
Sweat Shirts [Morse] [Moss]  reduced
     youth  S  M  L  		  @ $15.00=  
Sweat Shirts [Morse] [Moss]
     adult  S  M  L  XL		   @ $20.00=  
Key Ring   @  $7.00=  
Tote Bag   @ $20.00=  
Monument Lithograph Reprint   @  $4.00=  
Morse Recipe Book   @  $9.00=  
1850 Memorial of the Morses Reprint
     members price
     non-members price		   .
@ $46.00=
@ $62.00=		  
1903-05 Morse Genealogy Reprint
     members price
     non-members price		   .
@ $52.50=
@ $67.50=		  
Newsletter individual copies      
     issue number      x     copies   @  $5.00=  
     issue number      x     copies   @  $5.00=  
Newsletter CD-rom issues 1-90   @ $25.00=  
      TOTAL  

Check payable to The Morse Society  or  charge my  VISA        MC
Expiration date____________Account #________________________________
Name appearing on card_____________________________________________
Signature______________________________Date (for cc orders)___________
Mail to: Chelsea Sirtola (Secretary), 6689 Shepherd Oak St, Lakeland FL 33811