PIONEER MUSEUM BOOKSTORE order form

317 W. Main Street Bozeman, MT 59715 406-522-8122

AUTHOR’S LAST NAME

TITLE

PRICE

QUANTITY

TOTAL

POSTAGE: add $2 for the first item ordered, $1 for each additional item

sub-total

MEMBERS DEDUCT 10%

New sub-total

Postage (skip if you plan to pick up at museum.)

DONATION

MEMBERSHIP

(select one)

 

General $ 30 per year

 

Settler $ 75 per year

 

Homestead $150 per year

 

Pioneer $ 250 per year

 

Patron $250 per year

 

Contributor $1000 per year

Benefactor $2000 per year

TOTAL

 

Please make check payable to Pioneer Museum

or

Use your credit card: Visa & MasterCard accepted.

 Card #: ________________________________

Expiration date: _________________________

CVV# (last 3 digits on back of card): ________

Billing address: __________________________

Phone Number: __________________________

Signature: ______________________________

 

Ship order to:

Name_________________________________________________

Address_______________________________________________

City__________________________________________________

State / Zip Code_________________________________________

 

 

 

 

Print off and Mail to:

Pioneer Museum - Gallatin Historical Society

317 W. Main Street

Bozeman, MT 59715