Historyk Press Order Form

Print this form, complete the information requested and mail with payment
(make check payable to Historyk Press) and send to:
Historyk Press, 7 Dendron Court, Baltimore, Maryland 21234.

Item No:
 Description:
 Quantity:
 $ Price:
 Total:
Merchandise Total
MD Residents Must Add
6% Sales Tax 		 
Packing & Shipping Charges  
TOTAL ENCLOSED  


Shipping and Handling:
If merchandise
total is between:		 Add:
$0-$20.00 $3.95
$20.01-$35.00 $4.95
$35.01-$50.00 $5.95
$50.01 and over $7.50
Name:____________________________________EMAIL_________________________________

Street Address:___________________________________________________________________

City_______________________________State________________________ Zip:______________