Order Form

Ben Avon Area Historical Association
c/o 136 Dickson Avenue, Ben Avon, PA 15202
Name
 
 
Address
 
 
 
Phone
 
Item Number Price Total
The Dixmont State Hospital DVD   $12$  
Dixmont State Hospital (Book)   $15$  
1992 Ben Avon Centennial History   $10$  
7th Anniversary of Emsworth Borough   $10$  
Ohio Township Bicentennial History Book, by Darlene Philips   $15$   
Dear Emsworth, by Jim Knox   $10$   
 Subtotal$  
  
 Shipping & Handling  
$5.00
Make checks payable to
Ben Avon Area Historical Association
TOTAL$  
  

Please print this form and send it to the address above.