VHS Funds Payment Form

Fields marked * require an entry.

Use this form to make payments to the VHS Library.

Use this form to make payments to the Vermont Historical Society's Leahy Library after you have been given a verbal or written invoice by the library staff.

Click here research requests, quick reference requests, photograph reproduction requests, or photocopy requests.

If you need to contact us we can be reached at library@vermonthistory.org or at 802-479-8509.

Library Funds Form

Invoice Amount:

Your name:*

Your phone number:*

Your e-mail:*

Previous transaction number (if any):

Name of staff contact (if any):

Type of service provided:

Reference requestion

Photocopy order

Photograph order

Other

Describe service being paid for:

Contact Information

Company:

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*

Credit Card Information

Card Types Accepted:
Visa

Credit Card Number:*

Card Security Code:*

Expiration Date:*

/

Electronic Signature:*

I agree to pay above total amount according to card issuer agreement. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

Thank you!

Vermont Historical Society • 60 Washington Street • Barre, Vermont 05641 • (802) 479-8500
www.vermonthistory.org