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--ORDER FORM--

For Our County's Bi-Centennial History Book:

Allegany County in The 20th Century: Stories of Change"

Name:_____________________________________________________

Address:___________________________________________________

City/State__________________________________________________

Zip____________

 Telephone___________________________________

Current Price $55.00 (Tax Included)

Number of Books Ordered:_____________________________________

Subtotal (number of books x $55.00)  $__________________________

Shipping, if needed, $5.00 per book:    __________________________

Amount enclosed:                            $__________________________

Please make checks payable to:

Allegany County Tourism Promotion Council. (ACTPC)

Signature:____________________________________________

Date Ordered:_____________________

Mail to: Craig R. Braack, County Historian

7 Court Street

Belmont, NY 14813

Order form printed from: "Allegany County, NY - Local History & Genealogy Website

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