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Beautiful Image All prices include shipping and handling |
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Your Name: | _________________________________________________________ | |
Your Email | _________________________________________________________ | |
Street Address: | _________________________________________________________ | |
City: | _________________________________________________________ | |
State: | _________________________________________________________ | |
Zip: | _________________________________________________________ | |
Phone Number: | _________________________________________________________ |
Quantity | Image Name | Image Size (circle one) | Total | |
____ | _____________________ |
10x14 Image Only
$45 |
____________ | |
____ | _____________________ |
10x14 Image Only
$45 |
____________ | |
____ | _____________________ |
10x14 Image Only
$45 |
____________ | |
____ | _____________________ |
10x14 Image Only
$45 |
____________ | |
Subtotal | ____________ | |||
Grand Total | ____________ | |||
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Checks Payable to A Beautiful Image 7970 Archer Ave, Fair Oaks, CA 95628 |