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Print out, then fill in this form. Please write clearly.
Order Form
| Name |
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Credit Card Number |
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| Exp. Date |
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Billing
Address |
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Shipping
Address
(if different) |
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| Telephone |
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| E-mail |
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| Image Name |
Image Number |
Size
(or card) |
Unit
Price |
Quantity |
Total
Price |
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| Subtotal |
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| Sales tax 5% (Maine residents only) |
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| Shipping (for multiple items, shipping of largest item only) |
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| GRAND TOTAL |
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