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Order Form for Custom Prints

All photographs appearing on MrEclipse.com are available as custom prints in a variety of sizes. Use the form below to order prints. Just indicate the catalog number and title (or description) of each photo requested along with the quantity and print size. Send this form with payment to address at bottom. For an index to photos on MrEclipse.com, see: Photo Index


Name: _______________________________________________________________________________

Address: _____________________________________________________________________________

  ________________________________________________________________________________________  ________________________________________________________________________________________

email: phone:

8" x 12"
$25
12" x 18"
$45
16" x 24"
$60
20" x 30"
$75
24" x 36"
$100
Catalog Photo Title (or description) Quantity Quantity Quantity Quantity Quantity Total
______ ______ ______ ______ ______ $________
______ ______ ______ ______ ______ $________
______ ______ ______ ______ ______ $________
______ ______ ______ ______ ______ $________
______ ______ ______ ______ ______ $________
______ ______ ______ ______ ______ $________
______ ______ ______ ______ ______ $________
______ ______ ______ ______ ______ $________
Order two or more of the same print and size for a 10% discount! Sub-Total $________
Bank Collection Fee
(for all foreign or non-USA checks - $10)
Bank Fee $________
Shipping and Handling
First two prints: USA - $10, Canada - $12, Europe - $16
For each additional print, add $1 ($2 Europe)
S & H $________
Custom Prints require two to weeks. 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 Jul 03