Order Form for 2000 "Moon in Totality" Print |
Name: ___________________________________________________________ Address: _________________________________________________________ __________________________________________________________ |
| email: | phone: |
| -------------- Item Description -------------- | Size | Price | Quantity | Total |
|---|---|---|---|---|
| 2000 Moon in Totality - 11" x 14" Print | 11" x 14" | $22 | ______ | $________ |
| 2000 Moon in Totality - 16" x 20" Print | 16" x 20" | $34 | ______ | $________ |
| 2000 Moon in Totality - 20" x 24" Print (Special Order*) | 20" x 24" | $55 | ______ | $________ |
| 2000 Moon in Totality - 24" x 30" Print (Special Order*) | 24" x 30" | $75 | ______ | $________ |
| --- 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 |
WebMaster: MrEclipse
Last revised: 2003 Dec 28
