Tonopah Historic Mining Park Gift Shop

ORDER FORM

PLEASE PRINT OUT ORDER FORM

Prepayment required by either Check or Money Order

Ship to _______________________________________________________________



Address _______________________________________________________________



City _______________________________State ________________ Zip_________
Quantity Item Unit Price Total
















































   
Subtotal _________
-10% Discount for Park members _________
Shipping & Handling ($3.50 for first item, $.75 for additional ) _________

Total _________

SEND ORDER AND PAYMENT TO:

Tonopah Historic Mining Park
Box 965
Tonopah, NV 89049

Allow 4-6 weeks for delivery

HTML Web Counters
Apollo Hosting Coupon