Daughters of Utah Pioneers Order Form
Click on logo to return to Home page	Mailing address: 506 W 400 S, Tooele, UT 84074	email: Gwen Roberts   groberts10@hotmail.com Please put DUP as the subject

	Date:__________________		Order taken by:____________________
Name:		PO Box:
Address:		City:
State:		Zip+:
Phone #:		Email:

Item#	Title/Description	#Pages or Size	Price ea.	Amount
Subtotal___
Shipping & Handling (If applicable see below)___
Total___

Shipping & Handling
$1.00--5.00	$ 2.00
$ 5.01--$15.00	$ 4.45
$15.01--$25.00	$ 5.45
$25.01--$50.00	$ 7.45
$50.01--$75.00	$ 9.45
$75.01--$100.00	$11.45
Foreign mail add $3.00 to above	email or call us

Please fill out form, Print, then send with money
to above address.
Make check or money order payable to:
Tooele County DUP

If you have any questions or the
number of pages for a history is not listed,
please call 435-496-3201.
If no answer,
please leave phone# with message for Gwen 

Check

Money Order