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Print, fill out and return this form with check or money order payable to: Keukaview Marketing and Design, 2799 Knapp Road, Dundee, NY 14837 For more information email: info@keukaveiw.com or call (607) 243-7213.
ORDER PHOTO FRAME CARDS HERE:
IMAGE NO.	QUANTITY	$4 ea. (Minimum quantity = 4)					TOTAL COST









ORDER PRINTS HERE:
	DOUBLE MATTED PRINTS			FRAMED PRINTS w/ DOUBLE MATS
	(Indicate Quantity)			(Indicate Quantity)
IMAGE NUMBER		11x14 @ $40	18x24 @ $85		11x14 @ $65	18x24 @ $130	TOTAL COST






TOTAL YOUR ORDER HERE:
				1. Total of Above
Shipping and Handlilng Costs (USPS Priority or UPS): Add 15% to cost of order. Contact us for additional shipping options.				2. Shipping (See list at left)
				3. Total of Lines 1 & 2
				4. NYS Residents add .0825 x line 3 for sales tax.
				TOTAL ENCLOSED

ORDERED BY : NAME:___________________________________________________________________________________ ADDRESS: _______________________________________________________________________________ CITY_______________________________________STATE_______ZIP______________________ PHONE: ___________________________ email: _____________________________________ DATE OF ORDER: ___________________
SHIP TO (if different from above): NAME:___________________________________________________________________________________ ADDRESS: _______________________________________________________________________________ CITY______________________________STATE_______ZIP____________ PHONE: ___________________________