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Order Form for 1991 Eclipse Deluxe Print Set - 8" x 12"



Name: ___________________________________________________________

Address: _________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________
email: phone:

Catalog Photo Title Size Price* Quantity Total
T91-01 Diamond Bonita 8" x 12" $22 ______ $________
T91-02 Baily's Beads Sequence 8" x 12" $22 ______ $________
T91-03 Beads and Corona 8" x 12" $22 ______ $________
T91-04 Grand Corona 8" x 12" $22 ______ $________
T91-05 Western Corona 8" x 12" $22 ______ $________
T91-06 Dazzling Diamond 8" x 12" $22 ______ $________
T91-07 Diamond Trio 8" x 12" $22 ______ $________
T91-set Complete Set of Seven (one of each) 8" x 12" $120 ______ $________
* Pay only $20 USD each for three or more prints! Sub-Total $________
Bank Collection Fee
(for all foreign or non-USA checks - $10)
Bank Fee $________
Shipping and Handling
First 7 prints: USA - $6, Canada - $7, Europe - $12
For each additional 2 prints, add $1 ($2 Europe)
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: 2006 Oct 20