Order Information

Date
Parent Name Rider Name(s)
Address
City State ZIP Phone
Email
Method of Payment: Check # Cash

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Complete Photo Number	4 X 6	5 X 7	8 X 10	11 X 14	12 X 18	16 X 20	8 wallets
Quantity Sub Total

Pricing

4x6		x	$3.00			Custom Framing
5x7		x	$8.00			8 x10 Framed and matted in a 11 x 14 metal frame $50.00
8x10		x	$13.00			Please indicate photos below:
11x14		x	$25.00
12x18		x	$35.00
16x20		x	$55.00
8 wallets		x	$8.00
Framed 8x10		x	$50.00			Special Instructions:
shipping		x	$6.75
Grand Total

Delivery Method

Shipping: $6.75
Pick up at the Fort: Free

Make checks payable to Mike Green Please mail checks to: Mike Green 2513 S. Balsam Street Lakewood, CO 80227

Please print this page as your receipt

Comments :

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