ORDER FORM

PLEASE PRINT CLEARLY

 

Name_________________________________________________________________

Address_______________________________________________________________

City, State, Zip__________________________________________________________

Email_________________________________________________________________

Phone_______________________________

 

REVOLUTIONARY WAR VETERANS' PENSION APPLICATIONS

 

Veteran's Name_________________________________________Pages_____

Veteran's Name_________________________________________Pages_____

 Each ‘copy’ will include the complete file.  The cost for 1 ‘copy’ is $10.00.   This includes the copies requested and the postage.

Please send this form with your check or money order payable to:

BCHS

P O Box 414

Butler, PA  16003-0414

 

Please allow 2-3 weeks for receipt of these copies.

 

Any donation you make in addition to the above charges is tax deductible!  Please consider helping the BCHS to continue finding and preserving Butler County's rich history.

 

Thank You for your support!