Order Form
First Name...........................................Last
Name......................................
Street Address.............................................................................................
City...................................................State.................Zip
Code....................
Email Address and Telephone #
to confirm order and ship date
.................................................................................................................
1. Photograph Title..........................................Size................................
Price.................................
+ S&H - $15.00
2.Photograph Title ...........................................Size........................................
Price.................................
+ S&H - $15.00
Total.................................................................$............................................
For additional prints, please
use a separate sheet of paper or print out this form.
Send Check or Money Order to:
Michael A. Fitch
1315 High St. Bethlehem, PA 18018
mafitch@fast.net
mafitch@fast.net
Satisfaction guaranteed or your
money refunded
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