Artwork Order Form

                      -Print form and fill out-
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- We accept payment by Check, Money order, Mastercard and Visa -

Name________________________________

Address_____________________________

City________________________________

State_______________________________

Zip Code____________________________


Phone Number________________________

Email_______________________________



Artwork Title:     Size:    Framed?     Quantity:    $Each:    $Total:
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- E-mail: orders@waldmanphotos.com          $Sub-Total________________

- Call in your order                         +Shipping________________
  (509)456-7240
                                           WA State Res
                                           add 8.5% tax_______________
- Checks payable to Gay Waldman -
                                              TOTAL DUE_______________



Allow 3 weeks for delivery, need sooner?  Questions?  Call 509-456-7240
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