Ohio State Grange

Ohio State Grange Order Form Name______Send Orders to: Address______Ohio State Grange City______Zip______16303 Village Parkway Phone #______County______Fredericktown, OH 43019-9585 Grange & No.______Description Quantity Price Amount Subordinate Manual – No: 454 $12.00 Subordinate Obligation Book – No: 448 $3.00 Alternative Manual – No: 456 $0.75 Pomona Manual – No: 455 $12.00 Pomona Obligation Booklet – No: 449 $3.00 Junior Manual – No: 453 $5.00 Junior Alternative Manual – No: 457 $0.75 Grange Initiate – No: 428 $0.75 The Grange and You – No: 509 $0.50 Dues-1st Notice, two-way mailer – No: 416 $0.15 Dues-2nd Notice, two-way mailer – No: 417 $0.15 Dues-3rd Notice – No: 418 $0.10 Suspension Notice – No 419 $0.10 Subordinate Demits – No: 411 $0.15 Dues Receipt, Annual Membership Card (25 cards in book) – No: 410 $2.00 Dues Receipts to Patrons (100 in book with stub) $1.00 Treasurer's Receipts, bound per 100 with stub $1.00 Treasurer's Receipt Book – No: 437 $3.00 Treasurer's Cash Book $5.00 Secretary Order to Treasurer – No: 435 $3.00 Secretary Record Book – No: 460 $25.00 Worksheets for Secretary Record Book – No: 463 $0.10 Secretary Roll Book – No: 464 $5.00 Grange 1” Binder with Grange Emblem (Blue) for Individual Member Records – No: 400 $5.00 Individual Member Record Sheet – No: 458 $.15 Junior Secretary Record Book – No: 459 $2.50 Junior Emblem – No: 326 $3.00 Seven Sided Grange Patch - Blue___Green___Maroon___ each No: 250 $2.00 Grange Emblem, 10" Decal – No: 303 $3.50 Decal Sheet (16 assorted) – No: 305 $2.50 Gold Foil Seals, 1 1/4" (100 on roll) No: 307 $10.00 Gold Foil Seals 1 1/4" individual $0.10 Car Decal (clear) No: 909 $1.00 Marble Paper Weight – No: 754 $7.00 The Grange Song Book – No: 603 $8.00 Pianist Grange Songbook – No: 604 $10.00 Junior Song Book – No: 602 $5.00 Applications: FREE FREE Subordinate____ Pomona____ Junior___ Shipping/Handling Charges: (on Subtotal only) Orde Orders:Up to $10.00 = $4.00 Orders: $10.01-$19.99 = $5.00 TOTAL-PAGE 1:______Orders: $20.00- $49.99 = $7.00 TOTAL-PAGE 2:______Orders: $50.00-$74.99 = $9.00 SUBTOTAL:______Orders: $75.00-$99.99 = 10.00 6 1/2 % TAX:______Orders: $100.00-124.00 = $12.00 Revised June 2009 (subtotal X .065-round to nearest penny) S & H (rate to left):______(Over for Jewelry order) TOTAL AMOUNT DUE:______