Name________________________________________________________

Address ______________________________________________________

City, State, Zip ________________________________________________

Telephone_______________________

E-mail to confirm order _______________________

New reduced price as of April 2014 = $20.00

No. of books ________ x $______________ = $ _______________

If books are to be shipped in the United States, include $5.00 per book. Sales only in continental US.

Shipping costs $ _____________ + total cost of books = Grand Total $ _________

Make checks payable to:
Manning History Book Committee

Return this order form along with check to:
Quasqui History Book
c/o David Kusel
PO Box 278
Manning, IA 51455-0278