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Ordered By___________________________________________
Street_______________________________________________
City______________________________ State_____________
Zip______________ Phone______________________________
Ship to______________________________________________
C/O__________________________________________________
Street_______________________________________________
City______________________________ State_____________
Zip______________ Phone______________________________
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Subtotal_______________________
Shipping Charges________________
Total Amount____________________
please add a $5.00 shipping charge for the first print,
and an additional charge of $0.95 after the first print.
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