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: ________ x $250.00 = ___________

Select Method of Shipping:

Federal Express (for delivery by Christmas) + $30.00 = ___________
Standard Shipping (delivery in January 2009) + $5.00 = ___________

Total Amount: = ___________

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