ORDER FORM

Name
Address
State Country
Zip Code
City
Day Telephone Evening Telephone (optional)
Email Address (IMPORTANT! If the email address is not valid, the order will not be processed)
Picture Title
Platinum / Palladium
Standard Black and White
With Sepia Toning
Price
Item # 1
7" x 9" @ $195
11" x 14" @ $575
7" x 9" @ $135
11" x 14" @ $220
Item # 2
7" x 9" @ $195
11" x 14" @ $575
7" x 9" @ $135
11" x 14" @ $220
Item # 3
7" x 9" @ $195
11" x 14" @ $575
7" x 9" @ $135
11" x 14" @ $220
Item # 4
7" x 9" @ $195
11" x 14" @ $575
7" x 9" @ $135
11" x 14" @ $220
Item # 5
7" x 9" @ $195
11" x 14" @ $575
7" x 9" @ $135
11" x 14" @ $220
Sub Total =
Less 5% of the regular price if ordering 3 or more pieces =
California residents add 7.5% sales tax =
Shipping is included . . . Total =
Special Information
Before you submit this form, you may use the PRINT command on your browser to create a printed copy for your records.