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
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!