Please print this Order Form, then fill it out, and either fax it to 978-345-2229 or mail it with the appropriate check or credit card information to the Fitchburg Historical Society.
NOTE: This order form applies only to "Cat's Meow Items" sold by the Society!

List

Member

Quantity

Price

Price

Faith United Parish

15.95

14.35

Fay Club

16.95

15.25

Fitchburg Savings Bank

21.95

19.75

Historical Society

15.95

14.35

B & M Railroad Depot

16.95

15.25

Renaissance Park

21.95

19.75

Rollstone Boulder

9.95

8.65

Stratton Playhouse

16.95

15.25

Superior Courthouse

14.95

13.45

Thompson Hall

21.95

19.75

War Memorial

12.95

11.65

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Total amount due for above items $ _______

MA Sales Tax - Multiply total by .05 _______ SUB TOTAL $ _______

Postage and Shipping $ _______ ($6.00 for totals up to $80.00)

TOTAL DUE $ _______

I authorize you to charge my credit card account (circle one).  Card:  Visa   MC

Card # ___________________ Exp. Date ____ Auth. Sig. ________________________________

I enclose a check for __________. Please make check payable to Fitchburg Historical Society .
Send this form and payment to the   Fitchburg Historical Society P.O. Box 953, Fitchburg, MA 01420