Order Form (please call for fax number)

 

           Order Date: ___________________

Name: _____________________________________  Phone: _____ ________________

Address: _____________________________________ Fax: _____ ________________

City: ________________________________________ State: _______ Zip: _________

Email: _________________________________________________________________

 

Quantity     Photograph Title or File Name                             Print Size   Framed   Cost        Total

_______    ________________________ ________        ________  ______   ______  ______

_______    ________________________ ________        ________  ______   ______  ______

_______    ________________________ ________        ________  ______   ______  ______

_______    ________________________ ________        ________  ______   ______  ______

 

Sub-Total     __________

(California residents only)   8.25% Sales Tax        __________

Shipping         __________

Total Amount     __________

 

Check _____ Visa _____ M/C _____ Amex _____ Discover

 Card # ______   ______   ______   ______   expiration date ___ /___   security code (____)

Cardholders Name: ___________________________ Signature ____________________