Historic Georgetown, Inc.

Historic Georgetown, Inc.

Museum Shop

Order Form

Fill out the form below and click Submit, or print and fax to Historic Georgetown, Inc. at (303) 569-2111, or print and mail with check to: P.O. Box 667, Georgetown, CO, USA 80444

Order form includes information for tax, shipping and handling charges. Complete Ship To address only if different from Bill To address. Allow up to 2 weeks for delivery. Orders received without payment or incorrect amount will be billed before items are sent.

Please send the following items right away!

Bill To:		Ship To:
Address:		Address:

City:		City:
State/Prov:		State/Prov:
Country:		Country:
Zip/Post:		Zip/Post:
Phone:		Phone:

Email Address:

Item Description	Catalog Number (see Museum Shop)	Quantity (Number)	Unit Price	Extended Price

See charts below for Sales Tax and Shipping Charges
	Total
	Sales Tax
	Shipping Charges
	Grand Total
		Send this amount

Sales Tax		Shipping Charges
In these locations:	Add:	For these amounts:	Add:
In Georgetown, Colorado	7%	Orders up to $24.99	$6
Colorado	3%	Orders $25 to $49.99	$7
Outside Colorado	0%	Orders $50 and over	$8

Send check or complete Credit Card Type: (Mastercard or VISA)
Credit Card Number:
Expiration Date:

Click Submit to send this form, or print this page and fax to Historic Georgetown, Inc. at (303) 569-2111, or print and mail with check to: P.O. Box 667, Georgetown, CO, USA 80444

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