A National Park cooperating association supporting interpretation and education at various National Parks and Wildlife Refuges in North Dakota.
 Theodore Roosevelt Nature and History Association nameplate

THEODORE ROOSEVELT
Nature and History
Association
P.O. Box 167
Medora, North Dakota 58645
1-701-623-4884
trnha@midstate.net
ORDER FORM
SEND TO:
DATE___________
NAME: _____________________________________
ADDRESS: __________________________________
CITY: ___________________STATE_____ ZIP ______
PHONE: _____________________________________
MAIL ORDER INSTRUCTIONS: All checks and money orders should be made out to Theodore Roosevelt Nature & History Association (or TRNHA). Orders to North Dakota addresses must include 5% state sales tax. Prices of sales items are subject to change at any time.
QUANTITY
TITLE
PRICE
     
     
     
     
     
     
     
     
Credit Card Information - Visa or Mastercard
Total Merchandise
  
Card # _________________________________
Less 15% for TRNHA Members
  
Postage & Handling
  
Expiration Date (Mo/Yr) ___________________
Subtotal
  
ND Residents add 5% Sales Tax
  
Signature _________________________________
TOTAL
  
Shipping & Handling
Purchase Amount
Charge
0 - $9.99
$4.00
$10.00 - $29.99
$5.00
$30.00 - $49.99
$6.00
$50.00 - $69.99
$7.00
$70.00 and up
add 10% of purchase
MEMBERSHIP
___ 1 Year Individual
$10.00
___ 1 Year Family
$20.00
___ 1 Year Contributing
$50.00
___ 1 Year Supporting
$100.00
___ LIFETIME
$500.00
(All members are entitled to vote for Board of Directors)

NOTE: All orders are shipped special 4th Class Rate (10 days - 3 weeks). If you would like your order shipped 1st Class (3 - 5 days), include $3.00 in addition to regular postage and handling charges.

FOREIGN ORDERS, including Canada, add $10.00 for surface shipment or $20.00 additional for air. Remit in U.S. Funds.

 

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