Name: ___________________________________________________________ Address: _________________________________________________________ __________________________________________________________ |
| email: | phone: |
| -------------- Item Description -------------- | Price | Quantity | Total |
|---|---|---|---|
| 2000 Lunar Eclipse Panorama - 5.3" x 20" print | $22 | ______ | $________ |
| Sub-Total | $________ | ||
| Bank Collection Fee (for all foreign or non-USA checks - $10) | Bank Fee | $________ | |
| Shipping and Handling First 2 prints: USA - $6, Canada - $7, Europe - $12 Each additional 2 prints add: USA & Canada - $1, Europe - $2 | S & H | $________ | |
| Total | $________ |
| 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 |
