ORDER FORM
Please fillout, print and mail this form, along with check, money order (no cash please) or VISA/Mastercard information. Mail to:
Gore Place, 52 Gore Street, Waltham, MA 02453-6866

Please fill in your name and address:

Name: Street:

    City: State: Zip Code:

Phone Number (if paying by credit card):

Please enter the product and the quantity of each item you wish to order:

The House Servant's Directory     Qty: 

The Gores of Massachusetts         Qty: 

Christopher Gore                          Qty: 

Please indicate method of payment:

Mastercard VISA Check

MC/VISA Number Expiration Date: