The Central Maryland Heritage League Land Trust
Printable Order Form
Print and complete this form. Mail it with your check or money order made payable to CMHL at:
Central Maryland Heritage League
P.O. Box 721
Middletown, MD 21769
Questions/comments? Please call (301) 371-7090 or contact
us at sales@cmhl.org
Please include day and
evening telephone numbers in e-mail message.
| Name: | ___________________________________ |
| Address: | ___________________________________ |
| ___________________________________ | |
| City/State/Zip: | ___________________________________ |
| Contact Phone: | ____________________ Circle: Day/Evening |
| Item Description | Attribute | Qty | Price ea. | Shipping ea. | __Total__ | |
| 1 | 1862 Maryland Campaign Afghan | Available in Color: multi only (Red/Blue and natural) |
$55.00 | $8.00 | ||
| 2 | "Return to
Washington" Limited Edition Print |
Overall Size: 22" x 24" | $90.00 | $5.00 | ||
| 3 | "Winter's Peace at South
Mountain" Signed Limited Edition Print |
Overall Size: 22" x 24" | $100.00 | $5.00 | ||
| 4 | Certificate of Honorary
Ownership: Sq. Ft. of South Mountain Battlefield, Wise Field |
Confederate (Gold and black) Name on Certificate: ___________________* (Please print clearly) |
$25.00 | $.00 | ||
| 5 | Certificate
of Honorary Ownership: Sq. Ft. of South Mountain Battlefield, "Iron Brigade" Site |
Union
(Green) Name on Certificate: ___________________* (Please print clearly) |
$25.00 | $.00 | ||
| 6 | Annual CMHL Membership | Name
of Member: ___________________* (Please print clearly) |
$25.00 | $.00 | ||
| Total Order |
Thank you for your order and for supporting The Central Maryland Heritage League Land Trust.
*If ordering more than one membership, or certificate, please attach a separate piece of paper with the full names of the individuals, and the item number to which they refer. Thank you.