Home To USHS.org
ORDER FORM

Date

Name:

Shipping Address:

City: State: Zipcode:

Phone Number: Fax Number:
E-Mail Address:

Check enclosed for: $

Check enclosed for: $

Charge to:VISA MasterCard

Card number:
Expiration date:
CVV No.:
The CVV Number can be found on the back of your credit card in the signature field. It is the last three digits following your card number.

(Filling out this form does not automatically create an order. Use it for manually entering data only. You may print out this reservation form and mail it to us or fax it to: (309 407-4741.)

ITEM DESCRIPTIONUnit PriceQuantityShipping and HandlingVA Residents
Add 5%
Sales Tax		TOTAL
Lincoln Statue -
Solid Bronze		 $875.00 $25.00
Lincoln Statue -
Bonded Bronze		 $145.00 $8.50

PRINT OUT AND FAX THIS ORDER FORM TO
(309) 407-4741
Or Call Toll free: 1-800-788-4478
Or Mail to: United States Historical Society
8417 Glazebrook Avenue,
Richmond, VA 23228.

Free Examination Policy of the United States Historical Society.
You may examine any order for 30 days. If, for any reason, you decide not to keep it, you may return it for a full and unquestioned refund.

(800) 788-4478

Online Shop | Home