Sand in Our Shoes
Order Form
Please print the following information:
Name: _________________________________________________
Address: _______________________________________________
City: _____________________ State: __________ Zip: _________
Telephone: ________________ E-mail: ______________________
Number
_____ Books, "Sand In Our Shoes"
@ $45.00 ________
_____ 2002 Commemorative Medallions(Walnut Beach Park) @ $5.00 ________
_____ 2003 Commemorative
Medallions(Carousel Horse) @ $5.00 _sold out_
_____ 2004 Commemorative Medallions(Shoe Logo) @ $5.00 ________
_____
2005 Commemorative Medallions (Trolley) @ $5.00 _sold out_
_____ 2006 Commemorative Medallions(Merwin's Stand) @ $5.00
________
_____ 2007 Commemorative Medallions(Monument) @ $5.00 ________
Total amount enclosed _______
Please
make checks payable to: WBMBHA
Return to:
Walnut Beach-Myrtle Beach Historical Association
39 Hickory Ave
Milford Ct. 06460
Have a question? Please call either:
Florence Kuzemka Zielinski 203-877-5656
Jeanette
Weyant Acton 203-878-4225
