| Name:_________________________________ | Phone: (_______)____________________ |
| Address:_________________________________________________________________ | |
| State:_________ Zip:_____________________ | E-Mail:____________________________ |
Items Ordered:
| Qty | Title | Description | Price | Shipping |
|---|---|---|---|---|
| ____ | ______________________ | _________________________ | $____________ | $_________ |
| ____ | ______________________ | _________________________ | $____________ | $_________ |
| ____ | ______________________ | _________________________ | $____________ | $_________ |
| ____ | ______________________ | _________________________ | $____________ | $_________ |
| ____ | ______________________ | _________________________ | $____________ | $_________ |
| Subtotals: | $____________ | $_________ |
||
| Shipping: | $____________ | |||
| ORDER: | $____________ |
SHIPPING CHARGES: USA $8 each print, OUTSIDE USA $16 each print