Order Form - Publications

Publications For Sale
ORDER FORM
(not an online transaction)

Item No.	Description	U.S.
CEM-001	Cementerio Municipal Manuel Méndez Dueño, Juncos, PR	$24.99
CEM-002	Cementerio Municipal, Bo. Palo Seco, Toa Baja, PR	$10.00
CHU-001	Marriages - Parroquia Ntra. Sra. de la Candelaria, Mayagüez, PR (1761-1779)	$29.99
CHU-002	Marriages - Parroquia San Pedro Apóstol, Toa Baja, PR (1815 - 1863)	$29.99
OBI-001	Puerto Rico Obituary Index (2001-2002)	$10.00

	(Standard shipping is included on the price) Sub-Total $_________
	(If applicable, see Discount policy) Discount $_________
Ship To: (Please print)	Grand Total $_________

Name _______________________________________________

Address _____________________________________________

City ______________________ State _______ Zip __________

Your E-mail Address __________________________________
(acknowledgement and update of your order status done via E-mail)

Please mail this form,
with your payment to:

Priscilla Colon
Urb. El Plantio
Calle Jagüey C-15-C
Toa Baja, PR 00949
Thank you for your order!

Sorry, but we do not accept COD orders or orders outside the USA.

FOR SFOR USE ONLY

Order Received:
Date ___ / ___/ ___ Order Shipped:
Date ___ / ___/ ___

FOR SFOR USE ONLY
Order Received: Date ___ / ___/ ___	Order Shipped: Date ___ / ___/ ___