Civil War Print Order Form

150th Anniversary of the Kansas National Guard Civil War Print
Gallon Order Form

Item	Qty		Price	Total
Dale Gallon Civil War Print "8th Kansas At Missionary Ridge" (unframed, does not include shipping)			$110 each

Name _________________________________________________________________________________________________

Address________________________________________________________________________________________________

City___________________________________________________ State ______________________ Zip _________________

e-mail_________________________________________________________________________________________________

Payment Method: Cash ____ Check ____ Money Order ____

Print and fill out order form, then mail with payment to:

Kansas National Guard 150th Anniversary Civil War Print
LTC Barry Adams
The Adjutant General's Department
2800 S. Topeka Blvd.
Topeka KS 66611

For additional information e-mail Barry.Adams@ks.ngb.army.mil
or call (785) 274-1070