MONTGOMERY COUNTY GENEALOGICAL SOCIETY BOOK ORDER
Name ___________________________________________
Shipping Address _________________________________________
City______________________________State _________ Zip __________
MAIL TO:
MONTGOMERY COUNTY GENEALOGICAL SOCIETY,  P.O. BOX 444,  COFFEYVILLE, KS.   67337
Please complete the form below, adding sales tax and shipping and handling costs and send to the address above. Please allow 3-4 weeks for shipping. You will be notified if there may be a delay in shipping your order.
 
Title of Book   Price  Quantity   Extension 
125th Anniversary MONTGOMERY COUNTY, KANSAS, HISTORY BOOK (sales tax for Kansas Residents only & postage $5.00) $50.00 _______ _________
SUB-TOTAL BOOK ORDER COST
 _________
Sales Tax for Kansas Residents only - send your County or Citites Tax) _________
Shipping & Handling- $5.00 for each book _________
Membership Dues $8.00/year single membership, $10.00/year for family, please add name of spouse above. __________
TOTAL REMITTANCE
 $________