Order Form

To ensure the greatest privacy possible, this page is secured with SSL encryption. Complete this form and click on the "Submit" button. You may also print this form and mail with your payment or fax it and mail or drop off your payment. You will receive your order once payment is received. Mail or Fax to: Howe & Bassett Company 180 N. Clinton Avenue Rochester, New York 14604 • Fax: 585-271-4044

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Payment Method: Credit card   Check  Money order  Cash

Credit Card Mastercard Visa American Express Discover Expiration Date: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2008 2009 2010 2011 2012 2013

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Maps I wish to purchase are: Order by number. Map Number is the black, 3 digit number in front of the map name on the Map Index Page. Type of Print is Wood Framed, Plaque Mounted or Tube Rolled. Costs are listed at the bottom of this page.