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(Please print and fill in order information) |
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Name :
_________________________________________
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Address :
______________________________________
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City: ____________________________________
State: ____________ Zip
Code: _____________
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Country (if not U.S.): ____________________________ |
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Email: ________________________________________ |
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| Shipping Charges (see pricing table below) |
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(Size: 11 x 11) $5.00 for shipping within United States and Canada $15.00 for shipping outside of U.S. and Canada All currency in U.S. dollars.
Prints will be mailed in a flat cardboard container. |
| Method of Payment:
U.S. Check or Money Order made out to Corinna Lyon |
Please
submit this form and payment to:
Corinna Zubin Lyon
1930 Lawrence St. # 11
Port Townsend, WA 98368
Questions? Email me at: