-SOLDIER SEARCH- CIVIL WAR RECORDS FAX ORDER FORM  soldiersearch@ec.rr.com
Broadfoot Publishing Company  1907 Buena Vista Circle Wilmington, NC 28411-7892
Order Line (910) 686-9591 Fax Line (910) 686-4452  General Information (910) 686-4816
(Print this page & fax to:  910-686-4452).
YOUR NAME:       ______________________________________________________________

YOUR ADDRESS: ______________________________________________________________  Commercial[  ]   Residential[  ]
CITY:    _________________________________STATE: ______________________________    ZIP: ________________

YOUR SOLDIER'S NAME:___________________________________________________________
                                                   (Last)                    (First)                    (Middle Initial)
_________UNION    ________CONFED.         STATE:____________________________________

UNIT:  ____________________________ COMPANY LETTER:_____ (Artillery / Cavalry / Infantry / Other _____________)

_____Complete Research Package @ $100.00- Confed.: .$__________________
$110.00- Union:    .$__________________

_____Confederate Service Record(s) @ ($35.00) each: .$__________________
(includes up to Ten 8 1/2"x 11" pages.  If more than 20 pages, there will be an additional charge of 50¢ per page.) 
_____(Union Service Record(s) @ ($45.00) each: .$__________________
(includes up to Ten 8 1/2 x 14.  If more than 10 pages, there will be an additional charge of $1 per page.) 
______  YES, if my soldier has more than one service record, please send the additional records. 
 @ $25.00 ea. 1st 20 pages, 50¢ per page thereafter). Additional records ordered  later: $35.00 (1st 20 pages, 50¢ per page thereafter.) 

 _____Unit Record(s) @ ($25.00) each for Confederate; @ $35.00 each for Union: .$__________________

_____Certificate(s) of Service @ ($10.00) for one, $5.00 each additional, per soldier listing: .$__________________

_____Soldier Name Lists(s)  @ ($10.00) first page (per name/state), $5.00 per page thereafter. 
 (We will let you know if more than five pages):.$__________________

____Union Pension Record(s)  @ ($75.00) each: $__________________ 
 (Base charge of $30.00 for the search;  if record located & printed, cost is $75.00 total- up to 20 pages. $1.00 per page over 20.
______  YES, please send the complete Union Pension Record.

____Confederate Pension Record (s) @ $25.00 each: $_______________

There is a$10 search charge for Confederate
Pension Record searches if a record is not found
______  YES, please send the complete Confederate Pension Record.,

SUB TOTAL: .$__________________

N.C. RESIDENTS, PLEASE ADD 7.75% TAX   $__________________

Shipping & Insurance:. ($5.00)  .$__________________


 
TOTAL:.$__________________
CREDIT CARD: VISA[  ]. MASTERCARD[  ]. DISCOVER[  ] CREDIT CARD NO.  __________________________________
EXP. DATE:  mo./_______day/_______year/________ SIGNATURE:  _________________________________________
.
New Customer? Please Check Here [   ] .           Thank You for Your Order!    We Ship Via U.S. Mail (Extended Research Packages via UPS)