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Order Form for 1999 "Awesome Corona" Print


Name: ___________________________________________________________

Address: _________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________
email: phone:

-------------- Item Description -------------- Size Price Quantity Total
1999 Awesome Corona - 11" x 14" Print 11" x 14" $30 ______ $________
1999 Awesome Corona - 16" x 20" Print 16" x 20" $45 ______ $________
1999 Awesome Corona - 20" x 24" Print (Special Order*) 20" x 24" $65 ______ $________
1999 Awesome Corona - 24" x 30" Print (Special Order*) 24" x 30" $90 ______ $________
--- Take 10% Discount for 2 or more prints of the same size! --- Discount $________
Sub-Total $________
Bank Collection Fee
(for all foreign or non-USA checks - $10)
Bank Fee $________
Shipping and Handling
First print: USA - $6, Canada - $7, Europe - $12
Each additional print add: USA/Canada - $1, Europe - $2
S & H $________
Total $________

*Special Orders require 2-3 extra weeks for delivery.

Please print this Order Form and fill it out as accurately as possible.
Payment may be made in either cash (US dollars) or check (US dollars). Sorry, no credit cards.
Note that all foreign (non-USA) checks require a $10 collection fee charged by our bank.
Checks should be payable to "Fred Espenak".

Mail this completed Order Form along with your payment to:

Fred Espenak
P.O. Box 16197
Portal, AZ 85632
USA


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Last revised: 2006 Oct 20