If you would like to purchase this item please fill out completely, print out and mail to:

2400 School Ln., Bedford, TX 76021-4638 or fax it to us at: 817-952-2263.

As always, you are also welcome to stop by the Old Bedford School at the address above and visit our gift shop.

Name:

Address:

City:   State:

Zip:

PHONE: REQUIRED - We must contact you for shipping instructions.

Are you a Bedford Historical Foundation member?
Item Number:   Quantity:   Price:   $    Total: 

Size if applicable: 
Item Number:   Quantity:   Price:   $    Total: 

Size if applicable:  
Item Number:   Quantity:   Price:   $    Total: 

Size if applicable:  
Item Number:   Quantity:   Price:   $    Total: 

Size if applicable:  

(Please add $3.50 to orders totaling up to $25, for orders totaling more than $26.00 please add $5.00 for shipping and handling)

Check is payable to Old Bedford School for $  

Please charge my account:   Visa   Mastercard  

Account #:   Expiration Date:  

Signature: _______________________________________________



You may print this order form and mail it to the address above.