ORDER FORM


Name:       __________________________________________

Address:    __________________________________________

            __________________________________________

Phone:      __________________________________________


[  ] Check enclosed
      (Make check payable to "The Log House Museum")

Charge my:      [  ] VISA        [  ] MasterCard

Card No:    ______________________ Exp. Date: ________

Signature:  __________________________________________

...................................................................
.                                                                 .
.          TITLE                    QTY        PRICE        TOTAL .
.                                                                 .
.                                                                 .
. "West Seattle Memories--Alki"     ___        $16.95       _____ .
.                                                                 .
. Workbook for                                                    .
. "West Seattle Memories--Alki"     ___        $ 3.95       _____ .
.                                                                 .
. "West Seattle Memories--Alki"                                   .
. AND Workbook                      ___        $19.95       _____ .
.                                                                 .
. "Tell Me a Story"                                               .
. (Children's version of                                          .
. "West Seattle Memories--Alki")    ___        $ 4.65       _____ .
.                                                                 .
. "Memories of Southwest
. Seattle Businesses"               ___        $18.50       _____ .
.                                                                 .
. "Tales of West Seattle" (Video)   ___        $15.00       _____ .
.                                                                 .
.                                                                 .
.        Shipping:  Add $2.50 for first book ordered,       _____ .
.                     $1.00 for each additional book.             .
.                                                                 .
.                                           Subtotal:       _____ .
.                                                                 .
.                                                                 .
.                         Tax:  For orders shipped to       _____ .
.                         Washington State, add 8.8%.             .
.                                                                 .
.                                              Total:       _____ .
...................................................................

            The Log House Museum
SEND TO:    3003 61st Avenue SW
            Seattle, WA   98116