Ordered By:(Use black or blue ink when faxing your order)
Name______________________________________
Address __________________________________
City __________________State____Zip_________
Daytime Phone(_____)______________________
Ship to: (Only if different)
Name______________________________________
Address __________________________________
City __________________State____Zip_________
Daytime Phone(_____)______________________
Let me know if you have special instructions:
|
|
|
SUBJECT |
PRICE |
AMOUNT |
|
|
Single Portrait |
|
£ 120 |
|
|
Double Portrait |
|
£ 200 |
|
|
Shipping & Handling |
x |
£ 15
|
|
Total
|
|
||
Deposit paid using PAYPAL
|
|
||
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Thank
you - Gérard Mineo