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| Fotografia Distinta |
| P.O. Box 1145 |
| Manati, PR 00674 |
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| Bus. 787.298.1716, 787.298.1715 Fax:1.888.893.1579 (Continental USA Only) |
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| Complete the order form and mail it along with a Cashier's Check, Money Order or Credit Card information. Orders must be paid in full. |
| Name: |
| Street Address:___________________________________________________________________________ |
Phone #____________________ |
| City:______________________________________________________________________________ |
Fax. #____________________ |
| State:_____________________________________________________________________________ |
Zip Code:________________ |
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| Name of Party or Event:_______________________________________________________________________________________ |
| Email:_____________________________________________________________________________________________________ |
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| Print file # |
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5x7 |
8x10 |
11x14 |
16x20 |
custom |
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Quantity |
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Quantity |
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Quantity |
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Quantity |
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| Send completed form and payment to: |
| Fotografia Distinta |
| P.O. Box 1145 |
| Manati, PR 00674 |
| English: 787.298.1715 |
| Español: 787.298.1716 |
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| Print size/number of prints |
price |
amount |
| 5x7__________________ |
$15.00 |
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| 8x10_________________ |
$30.00 |
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| 11x14________________ |
$65.00 |
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| 16x20________________ |
$85.00 |
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| custom_______________ |
e-mail for $ |
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| Please allow 3-4 weeks to process order |
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| Total # of Prints |
Sub total: |
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| Shipping & Handling (USPS Priority Mail) |
$4.65 + 5% of print order |
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| *Puerto Rico orders only |
*7% PR Tax |
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| Total |
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Credit card Infromation (Please check one) |
MasterCard _____ |
Visa _____ |
| Card # ______________ ________________ ______________ _____________ |
Exp. Date
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| Name on Card: _________________________________________________________________ |
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| Signiture: _________________________________________________________ |
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| Complete the order form and fax to Fotografia Distinta Fax #: 1.888.893.1579 (Continental USA Only) or maill it to the address above. |
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