-----------------Theberge Studios Order Form--------------------
Name ___________________________________________________________
Address_________________________________________________________
City________________________ State____ Zip Code_________________
Home Phone_____________ Work Phone_____________ Fax_____________ EMAIL:___________________________________________
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| Prints:-Special Rate Photo = $40.00 Sketch = $40.00 Photo/Sketch Set = $75.00 |
Originals:-Special Rate Photo = $500.00 Photo/Sketch Set = $650.00 |
Please indicate your order below:
Indicate if you want originals
Item #: Photo/Sketch/Set: Quantity: Price:
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_______ _________________ ________ $____.__
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Order Total: $____.__
Postage & Handling: Free within US
Total Check/Money Order: $____.__
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Please indicate special instructions
below: ________________________________________________________________ ________________________________________________________________
________________________________________________________________ ________________________________________________________________
________________________________________________________________ ________________________________________________________________
________________________________________________________________ ________________________________________________________________
________________________________________________________________
Mail to:
Daniel E. Theberge
48 James Street
Auburn, ME 04210