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Order Form for Totten Astrophoto Print Set



Name: ___________________________________________________________

Address: _________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________
email: phone:

-------------- Item Description -------------- Price*QuantityTotal
Jupiter Descending (PT-01) - 8" x 12" print$22______ $________
Eclipse Jewelry (PT-02) - 8" x 12" print$22______ $________
Jupiter and Saturn (PT-03) - 8" x 12" print$22______ $________
Voyage on Lake Titicaca (PT-04) - 8" x 12" print$22______ $________
Star Vortex Above Bell Rock (PT-05) - 8" x 12" print$22______ $________
Milky Way Over Bolivian Village (PT-06) - 8" x 12" print$22______ $________
Comet Hale-Bopp (PT-07) - 8" x 12" print$22______ $________
Complete Set of Seven (one of each) (PT-set) - 8" x 12" prints$120______ $________
* Pay only $20 USD each for four 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
Each additional 5 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 "P. Totten".

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: 2008 Aug 12