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Order Form for 2000 Lunar Eclipse Panorama


2000 Eclipse Panorama



Name: ___________________________________________________________

Address: _________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________
email: phone:

-------------- Item Description --------------PriceQuantityTotal
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
P.O. Box 16197
Portal, AZ 85632
USA


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Last revised: 2003 Dec 28