Irwin Family History Order Form

Your Address:

Full Name:	____________________________________________________________________________________

Address Line 1:	____________________________________________________________________________________

Address Line 2:	____________________________________________________________________________________

Town/City:	____________________________________________________________________________________

State or Province:	________________________________________ Country: __________________________________

Postal / Zip Code:	____________________________________________________________________________________

Email Address:	____________________________________________________________________________________

Part 1 Qty:	_________ @ $16.00	+	Postage:	_________		Subtotal:	_________

Part 2 Qty:	_________ @ $16.00	+	Postage:	_________		Subtotal:	_________

Part 3 Qty:	_________ @ $6.00	+	Postage:	_________		Subtotal:	_________

						Grand Total:	_________

Postage for persons ordering all three books:
Canada - surface	7.50
USA - air	13.00
USA - surface	10.00
International - air	25.00
International - surface	12.00

Postage on single books are on the previous page. Please send printed order form with payment (cheque or money order) to:

Ross W. Irwin

903 - 24 Marilyn Drive

Guelph, ON, Canada, N1H 8E9

If you would like to arrange payment through Paypal please email me.