Name_{--------------------------------------------------------------------------------------------------}

Address_{-----------------------------------------------------------------------------------------------}

City/State/Zip_{----------------------------------------------------------------------------------------}

Name of Book _{------------------------------------------------}

Number of Copies_{------------------} x Cost $_{-----------------------------} = Total Amount $_{-----------------------------}

Heritage Center Museum hours are Tuesday-Saturday, 1-5 PM.  The telephone number is (765) 675-5828.

The books can be picked up at the Tipton County Historical Society Heritage Center.

Tipton County Historical Society Heritage Center

323 West South Street

Tipton, Indiana 46072