ORDER FORM - Please print & send

Name..........................................................................................................................

Address.......................................................................................................................

Phone(s)........................... FAX............................. E-mail..............................................

 
PHOTOGRAPH(S) ORDERED
 
TITLE OF PHOTOGRAPH Number of Prints
Size
Price

1. .............................................................................................................................................................

2. .............................................................................................................................................................

3. .............................................................................................................................................................

4. .............................................................................................................................................................

5. .............................................................................................................................................................

 
Sub-Total .................................................................
  Discount (if applicable) ..............................................
  Total ........................................................................
 
 
AGREEMENT
 

All photos are individually signed and shipped, UNFRAMED, in a mailing tube. All prices include shipping and handling. The photographs will be mailed approximately three weeks from date of receipt of payment and order. As each photograph is made to order and colors on the print(s) may vary slightly from the image on the computer screen, I agree to leave the color rendition to the discretion of the artist.

Signed:_________________________________________________ Date:_______________

  (your signature ensures this order)
 
 
PAYMENT
 

Check

Please make checks payable in US Dollars to Ruth Neubauer

Send completed order form and payment to:

4701 Willard Ave. #635
Chevy Chase, MD 20815

 
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