_______________________________________________________________________ Instructions: Please print this page and then enter the quantity of each item you are purchasing with this order. Then please total your order and send the form along with your payment to the following address. HISTORICAL SOCIETY OF ISLIP HAMLET POST OFFICE BOX 601 ISLIP, NY 11751 Please make checks payable to: Historical Society of Islip Hamlet. Thank you. _______________________________________________________________________ [ ORDER FORM ] [ EFFECTIVE JANUARY 2010 ] [ MAPS ] Please note that all maps are black & white photocopies except where noted. All maps contain more detail than shown in the "Store" listing. !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !! DUE TO POPULAR DEMAND, MANY MAPS ARE BACK-ORDERED. PLEASE CALL THE !! !! SOCIETY BEFORE ORDERING TO BE SURE THAT THE MAP YOU WANT IS IN STOCK !! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! QTY ITEM # DESCRIPTION SIZE PRICE ---- ------- ----------- ------ ------ [ ] HSM-001 1683-1708 Original Patentees of Islip..... 8"x11" $15.00 [ ] HSM-002 1777 Long Island, Connecticut & "Parts Adjacent"..................... 8"x12" $20.00 [ ] HSM-003 1779 Long Island Counties, Manors & Patents ............................. 8"x14" $20.00 [ ] HSM-004 1797 Town of Brookhaven Survey............ 15"x18" $30.00 [ ] HSM-005 1798 Islip Township ...................... 33"x36" $30.00 [ ] HSM-006 1836 Babylon, Islip, Fire Island Lighthouse .......................... 9"x13" $15.00 [ ] HSM-008 1858 Islip Hamlet with Business Directory 8"x14" $20.00 [ ] HSM-009 1873 West Islip to Youngport ............. 10"x14" $15.00 [ ] HSM-010 1873 Sayville/Bayport .................... 12"x14" $20.00 [ ] HSM-011 1873 Islip Hamlet South to Water Street .. 10"x14" $30.00 [ ] HSM-013 1878 South Beach (Brookhaven & Islip Areas of Fire Island) ..................... 13"x180" $50.00 [ ] HSM-014 1886 Main Street, Islip Hamlet ........... 20"x64" $15.00 [ ] HSM-015 1887 Islip Hamlet ........................ 22"x28" $10.00 [ ] HSM-016 1902 Islip Hamlet ........................ 25"x35" $30.00 [ ] HSM-016C 1902 Islip Hamlet Printed on Color Photo Paper ............................... 25"x35" $125.00 [ ] HSM-017 1904 Islip Hamlet, Main Street ........... 8"x11" $10.00 [ ] HSM-018 1904 Willow Brook Park & Race Track ...... 14"x20" $20.00 [ ] HSM-019 1907 Long Island ......................... 18"x21" $15.00 [ ] HSM-020 1915 Bay Shore (Northwest Section) ....... 10"x15" $15.00 [ ] HSM-021 1915 Islip Hamlet South to Maple Street (Dock Road) ......................... 24'x36" $50.00 [ ] HSM-022 1915 Part of Town of Islip South Side / Ocean Shore ......................... 15"x22" $20.00 [ ] HSM-023 1915 Sayville ............................ 16"x22" $30.00 [ ] HSM-024 1924 Islip Coal & Feed LIRR Siding West of Islip Station .................... 9"x14" $15.00 [ ] HSM-025 1989 Islip Hamlet Showing Islip Speedway 11"x17" $10.00 ====== MAP SUBTOTAL: !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !! DUE TO POPULAR DEMAND, MANY MAPS ARE BACK-ORDERED. PLEASE CALL THE !! !! SOCIETY BEFORE ORDERING TO BE SURE THAT THE MAP YOU WANT IS IN STOCK !! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! [ BOOKS ] QTY ITEM # DESCRIPTION PRICE ---- ------- ----------- ------ [ ] HSB-001 Origins of the Gibb Patent ....................... $ 2.00 [ ] HSB-002 Islip Rebus ...................................... $ 2.00 [ ] HSB-003 Diary of Nathaniel Barto ......................... $ 7.00 [ ] HSB-004 Brief History of Islip Hamlet .................... $ 2.00 [ ] HSB-005 Taking Leave of the Old Schoolhouse .............. $ 2.00 [ ] HSB-006 Doxsee Clam Factory .............................. $ 2.00 [ ] HSB-007 Islip Railroad Station (NEW 2008) ................ $ 4.00 [ ] HSB-008 Islip's First Town Hall .......................... $ 2.00 [ ] HSB-009 Historic Churches of Islip Hamlet ................ $ 3.00 [ ] HSB-010 A.J. Wheeler's Complaint ......................... $ 3.00 [ ] HSB-011 Brookville ....................................... $ 3.00 [ ] HSB-012 Willowbrook Racetrack ............................ $ 3.00 [ ] HSB-00A All books from above (includes HSB-001 to HSB-012) $30.00 [ ] HST-001 Holiday House Tour Compilation #1 ................ $ 7.00 ====== BOOK SUBTOTAL: [ NOTE CARDS ] QTY ITEM # DESCRIPTION PRICE ---- ------- ----------- ------ [ ] HSC-001 Islip History Note Cards (4 in package) Historic Islip Hamlet Scenes ..................... $ 3.00 [ ] HSC-002 Islip History Note Cards (4 in package) Islip Hamlet's 4 Historic Churches ............... $ 3.00 [ ] HSC-003 Islip History Note Cards (4 in package) Islip Hamlet's Historic Houses ................... $ 3.00 [ ] HSC-00A Any 2 notecard collections from above ............ $ 5.00 [ ] HSC-00B All 3 notecard collections above ................. $ 7.00 [ ] HSC-004 Winter Scenes from the Scully Estate (6 per pack) $ 4.00 [ ] HSC-005 Estate Notecards (4 in package) .................. $ 3.00 ====== NOTE CARD SUBTOTAL: ------------ ORDER TOTALS: ------------ Map Subtotal: $ Book Subtotal: $ Note Card Subtotal: $ Shipping & Handling: $ 4.00 ------------------------------ Grand Total of Order: $ [ SHIPPING INFORMATION ] Name: _________________________________________________________________ Street address:________________________________________________________ Town/State/Zip:________________________________________________________ Phone: Home:________________________ Business:_________________________ Email:_________________________________________________________________ [ BRIEF SURVEY ] 1. If you could have placed this order on-line and paid with a service like PayPal, would you? YES[ ] NO[ ] 2. Are you pleased with the format of our website? YES[ ] NO[ ] 3. Do you find our site easy to use? YES[ ] NO[ ] Comments: _____________________________________________________________ _____________________________________________________________ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * THANK YOU FOR SUPPORTING THE HISTORICAL SOCIETY OF ISLIP HAMLET! * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *