HAYCOCK HISTORICAL SOCIETY

Please send me________copy(s) at $25.00 per book plus $5.00 S & H per book

Allow 14 days for shipping

 I have enclosed my check or money order in the amount of _________________

 Mail check/money order payable to:

  Haycock Historical Society, P. O. Box 715, Quakertown PA 18951

 Ship to: Name __________________________________

Address __________________________________

City __________________________________

State __________________ Zip Code: ______

 Telephone _______________

If you are using this order form to order our first book “Haycock Township and Eddie Bauer”, Please indicate on the order form

PURCHASE DIRECTLY AT HAYCOCK TOWNSHIP MUNICIPAL BUILDING, NEW HARRISBOUG SCHOOL ROAD - OR – SINES 5 & 10, QUAKERTOWN, DURING NORMAL BUSINESS HOURS.

Visit us on the web: WWW.HAYCOCKHISTORICALSOCIETY.ORG