Order and Payment

Paying for*

ShopPhoto or ArchiveOther

Night Phone Number*

Day Phone Number

Ext.

Name*

PrefixFirst Name(s)Middle NameLast Name(s)Suffix

E-mail*

Confirmation Email

Address*

Street Address

Street Address Line 2

CityON Province / State

Postal Code / Zip CodeCountry

Below, for Store purchases, please describe item(s) being purchased. i.e., title of books, maps, charts or name of prints.

Items Purchased and any comments:*

After hearing back from us with pricing information, you may pay for Photographs and Archive items using this form.

Enter $ Amount by Cheque or Cash

How will payment be made?*

On Line by either: Credit Card; Debit Card; Bank Account or PayPalCheque, same amount as on line paymentCash, same amount as on line payment

You may pay by credit card, debit card, from a bank account or using a PayPal account.

Immediate Online Payment $ Amount through PayPal

CADDescription

Cheque, payable to the Oakville Historical Society, mailed to us or dropped off at our office or during an event.

Cash payment may only be made in person during our office hours, or at Speakers’ Nights.

After Submit is selected, a copy of this form will be sent to the email address provided.