Use the PRINT button on your browser to print out this form.
ORDER FORM Name and Address ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
I wish to order : ____ Middlesex Canal Guide and Maps by Burt VerPlanck No. Members of MCA @ $12.00 + $1.50 s/h = $13.50 ea. $______ Non members @ $17.00 + $1.50 s/h = $18.50 ea. $______ ____ The Old Middlesex Canal by Mary Stetson Clarke No. Soft Cover @ $9.95 + $1.75 s/h = $11.70 ea. $______ Hard Cover @ $19.95 + $2.00 s/h = $21.95 ea. $______ ____ Middlesex Canal Map and Profile 34 1/2 X 11 1/2 inches. No. Originally published 1967 @ $3.50 +$2.50 s/h = $6.00 ea. $______ ____ Middlesex Canal Note Paper Packets 9 old Canal scenes. No. Black & white prints. Envelopes 4 1/2 x 5 3/4 inches @ $3.00 +$1.00 s/h = $4.00 ea. $______ ____ Bicentennial Poster (see March 1993 Towpath Topics.) No. @ $10.00 +$2.50 s/h = 12.50 ea. $______ ____ Journey Along the Middlesex Canal Video by MCA Members No. Members of MCA @ $9.00 +$1.75 s/h = $10.75 ea. $______ Non members @ $11.00 + $1.75 s/h = $12.75 ea. $______ TOTAL ORDER $________ Make check payable to Middlesex Canal Association and mail check and completed order form to : The Middlesex Canal Association P.O. Box 333 Billerica, Ma. 01821
1