Phone:
(419) 304-1801 – (734) 723-7475
E-mail:
jachinger@bex.net
1.
Product Description________________________________________
2.
Product Number
________________________________________
3.
Size: (circle one of the following)
|
picture size |
fits frame size |
price |
|
|
5 by 7 |
8 by 10 |
$19.95 |
|
|
8 by 10 |
11 by 14 |
$24.95 |
|
|
11 by 14 |
16 by 20 |
$29.95 |
|
|
13 by 19 |
18 by 24 |
$39.95 |
|
|
18 by 24 |
|
$59.95 |
|
|
20 by 30 |
|
$74.95 |
|
|
28 by 40 |
|
$119.95 |
|
4.
Quantity ___________________________________________________
5.
Comments _________________________________________________
6.
Your Total: (total of all items – shipping
charges and sales tax are already included in all prices)
$___________ ._____
7.
Money Order / Bank Check Payment – Make
payable to:
8.
Shipping Address:
Name: _____________________________________________________
Address:
___________________________________________________
___________________________________________________________
City,
State, & Zip Code: _______________________________________