Name: (Please print)   ________________________________________________
Address:   ____________________________________________________________
	   _________________________________  ___________  ____________
Phone: ______________________ E-mail: _________________________________

Item(s) ordered:

Historic Rochester - Video Documentary (VHS)
Price per copy: $24.95
Number of copies ordered:
  1    2    3    4    5    6    7   (other)_______

						Subtotal: __________

Historic Rochester - Video Documentary (DVD)
Price per copy: $29.95
Number of copies ordered:
  1    2    3    4    5    6    7   (other)_______

						Subtotal: __________


Rochester Minnesota - Soft cover Book
Price per copy: $19.99
Number of copies ordered:
  1    2    3    4    5    6    7   (other)_______

						Subtotal: __________

6.5% sales tax (Minnesota residents only): 		  __________


Please add shipping and handling
(Local Delivery is available in Rochester, MN only)

 $  0.01 to $25.50     	   $5.00 USD 
 $ 25.51 to $107.50 USD    $7.00 USD 
 $107.51 to $195.00 USD    $12.00 USD  
 $195.01 to $270.00 USD    $16.00 USD 
 $270.01 and up            $20.00 USD 

				       Shipping Subtotal: __________

						  Total: ____________

Please make checks to:
				Ted St. Mane
				819 15th Ave NE
		            	Rochester, MN  55906