ORDER FORM    
     
First Tribal Council
Official Medallion of the Lewis & Clark
Council Bluff Interpretive Monument
Ft. Atkinson State Historical Park
Ft. Calhoun, Nebraska		   Print this form and send orders to:
Washington County Historical Association
PO Box 25
Ft. Calhoun, NE 68023
402-468-5740   FAX 402-468-5741
 info@newashcohist.org
     
     
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Item   Quantity   Price   Amount
             
Bronze       $ 9.00    $
             
Bronze Key Chain       $ 9.95    $
             
Silver       $34.95    $
             
Silver/Gold Plate       $49.95    $
             
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Please allow 2-4 weeks for delivery.

Qty Bronze Silver/Gold
1-5                       $3.50 $4.50
6-10                     $5.00 $10.00
* Nebraska residents add applicable sales tax

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