| Name ___________________________________
Address ________________________________________________________
City ________________________________State _______ Zip ____________
Daytime Phone ____________________________
Payment Information
___Visa ___MasterCard ___ Discover ___American Express
___Check ___Money Order
Make checks payable to the Herbert Hoover Museum and include your driver's license number and issuing state. Credit card orders please send in writing, fax or phone 319-643-5301 and ask for the audiovisual dept.
Credit Card Number _____________________________Exp Date ________
Shipping Address (If different from above)
Name ______________________________
Address ____________________________________________________________
City _________________________________ State _______ Zip _______________
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