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Order Form for 1999 Eclipse Deluxe Print Set - 8" x 12"



Name: ___________________________________________________________

Address: _________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________
email: phone:

-------------- Item Description -------------- Size Price* Quantity Total
Diamond Ring at 2nd Contact (T99-01) 8" x 12" $22 ______ $________
Glorious Corona (T99-02) 8" x 12" $22 ______ $________
Eclipse Sequence at Lake Hazar (T99-03) 8" x 12" $22 ______ $________
Totality Over Elazig (T99-04) 8" x 12" $22 ______ $________
Baily's Beads at 3rd Contact (T99-05) 8" x 12" $22 ______ $________
Final Diamond Ring (T99-06) 8" x 12" $22 ______ $________
Eclipse Matrix (T99-07) 8" x 12" $22 ______ $________
Complete Set of Seven (one of each) (T99-set) 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