Blue Roses Publishing Company

Blue Roses Publishing Company CD ROM Census Records
Mail Order and Payment Form

Order by check or money order here.

YEAR	STATE	COUNTY/PARISH	PRICE





Shipping Within US - $2.00 per item
Shipping Outside US - $10.00/first item - $5.00/each add.
Subtotal
Texas residents add 8.25% sales tax
TOTAL

Credit Card Number

Exp. Date

First Name

Last Name

Street Address

City

State

Zip Code

Country

Phone Number

E-Mail

Please print this form and mail with check, money order or include Credit Card information and send to:
Blue Roses Publishing Company
P. O. Box 60552
San Angelo TX 76906
325-450-7611

CD ROM Census Records Books
If the county you have selected is in inventory it will be shipped in 5 to 6 weeks.

First Name
Last Name
Street Address
City
State
Zip Code
Country
Phone Number
E-Mail