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Striking Images' Print Order Form
4685 West Crestview Circle - Tucson, Arizona 85745 - (520) 743-9964

Ordered By:
All correspondence will be sent to this address unless otherwise specified.

Name:_______________________________________

Street:_______________________________________

City:_____________________St:____Zip:__________

Phone:_______________________________________

Email :_______________________________________

Ship To:
Fill in only if different from "Ordered By."

Name:_______________________________________

Street:_______________________________________

City:_____________________St:____Zip:__________

Phone:_______________________________________

Select Payment Type:

CheckMoney Order

MasterCardVisa

Account Information:

Card #:___________________________Exp:______

Signature_______________________________

Prints Are Currently Available For Non-Commercial Uses
In The Following Sizes

8x12.........$35 11x16.......$75 20x30.......$125
Image ID Number Print Size Price Total

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SHIPPING OPTIONS

TOTALS
FedEx 2nd Day
FedEx Overnight
$10.00
$15.00		 Total
(all columns)

__________
Sales Tax
(AZ residents) Add 5%

__________
Shipping
(select an option)

__________
Arizona residents must include sales tax.
TOTAL ENCLOSED


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