ORDER FORM
Mail with payment to:
J. Renee Ekleberry - PO Box 2380 - Minden, NV 89423
TITLE ____________________ ______SIZE ________Quantity _______ Price ___________ Total
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________________________________________________ SUBTOTAL_____________________
________________________ SHIPPING & HANDLING (12% of subtotal)_____________________
____________________________________ _____TOTAL ENCLOSED______________________
PRICES
Signed Prints (ready to mat/frame)
4"x 6" = $5
5" x 7" = $12
8" x 10" = $25
11" x 14" = $32
16" x 20" poster with title = $50
BUYER'S INFORMATION
NAME _________________________________________________________________________
ADDRESS _____________________________________________________________________
CITY ___________________________________ STATE ____________ ZIP ________________
PHONE (_ _____) ________________________ PHONE (_______) _______________________
E-Mail ________________________________________________________________________
SHIP TO: ____ SAME AS ABOVE
NAME ________________________________________________________________________
ADDRESS ____________________________________________________________________
CITY __________________________________ STATE ____________ ZIP ________________
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