Ann Hand Order Form

Ford’s Theatre Where Lincoln’s Legacy Lives! ORDER FORM Yes! I want to commemorate the Lincoln Bicentennial and support Ford’s Theatre with the exclusive Abraham Bicentennial Pin designed by Ann Hand. Name_________________________________________________________________________ Address1______________________________________________________________________ Address2______________________________________________________________________ City________________________________________ ST_____ Zip Code__________________ Email_________________________________________________________________________ Phone________________________________Fax______________________________________ Select Quantity:

________

Select Method of Shipping: Federal Express (for delivery by Christmas) Standard Shipping (delivery in January 2009) Total Amount:

x $250.00

= ___________

+ $30.00 + $5.00

= ___________ = ___________ = ___________

Method of Payment (please check all that apply)  Check/Money order (enclosed) Please make checks payable to: Ford’s Theatre  Credit card (please circle one) Visa

MasterCard

American Express

Discover

Card Number___________________________________________________________ Expiration Date_______________________ Name on Card__________________________________________________________

Please fax or mail your completed order form and payment to: Fax: (202) 783-5718 Ford’s Theatre Society 514 Tenth Street, N.W. Washington, D.C. 20004 To order by phone with a credit card call (202) 434-9545