Order Form

ORDER FORM 
Please fillout, print and mail this form, along with check, money order (no cash please) or VISA/Mastercard information. Mail to:
Gore Place, 52 Gore Street, Waltham, MA 02453-6866

Please fill in your name and address:

Name:  Street:     City:  State:  Zip Code: 

Phone Number (if paying by credit card): 

Please enter the product and the quantity of each item you wish to order:

The House Servant’s Directory     Qty:  

The Gores of Massachusetts         Qty:  

Christopher Gore                          Qty:  

Please indicate method of payment:

 Mastercard  VISA  CheckMC/VISA Number  Expiration Date: