History of St. Charles County, Missouri

Order Form

Please print this form and mail it with your check or money order.

Customer Information (please print clearly)

Shipping address (if different from above)


Number ordered:___________ x   $19.95 $_______________ Subtotal
Add Shipping & Handling: $3.00 each $_______________
$_______________ TOTAL

Please make checks payable to Patria Publishing. Allow 2 weeks for shipping.

Mail to:   Paul R. Hollrah
1205 E. 10th Street
Sand Springs, OK 74063