Order Form

Hursts of Shenandoah

Please call, send mail or e-mail if you have any questions:
502-895-0691

Please print this page and mail with your personal check or money order.

hurstsofshenandoah@att.net

Return to the Hursts of Shenandoah home page

Mail to:  S. L. Perry 
P.O. Box 6031 
Louisville KY 40206-0031		 Date: _______________
Please print clearly, or type.
If the shipping name and address is different from your name and address, please plainly write the shipping name and address on the back of this page. If this is a gift, we will enclose a gift card saying that the gift is from you, along with any polite message you wish to send. 
Name:  ______________________________ Please check if this is a gift. Gift ____
Street:  ______________________________ Apt. _____
City:  ______________________________ State ____ Zip _____________
Phone:  ______________________________ E-mail _________________________________
Item
Quantity
Price
Total
Hursts of Shenandoah printed book
______
$26.95 
______
Hursts of Shenandoah computer CD
______
$14.95 
______
The Hurst Nation: a family history computer CD
______
$14.95 
______
  
______
Shipping and handling costs are included

My Order
Fill out the following information to keep for your records
Mailed to: S.L. Perry, P.O. Box 6031, Louisville, KY 40206-0031.
If I have any questions I can call 502-895-0691 or send an e-mail to hurstsofshenandoah@att.net. They will ship my order within 10 business days (2 weeks).
On ____________ I ordered ______ copy(ies) of the book, Hursts of Shenandoah for a total of $ _________, my check number _____________ or my money order receipt number ___________.
On ____________ I ordered ______ copy(ies) of the computer CD for the Hursts of Shenandoah for a total of $ _________, my check number _____________ or my money order receipt number ___________.
On ____________ I ordered ______ copy(ies) of  The Hurst Nation: a family history computer CD for a total of $ _________, my check number _____________ or my money order receipt number ___________.
I sent this order to ______________________ as a gift and I wrote the recipient's correct name and address on the back of the order form.