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Please complete the following information:

Name:

Address:

City:

State: Orders shipped to Illinois subject to sales tax

ZIP Code:

Phone:

E-mail:

Traditional Prints on Kodak^Ž or FujiŽ Paper

Item #
Photo ID Number (ARL04C4MN_DSC_0123) DO NOT INCLUDE .jpg!!
Size/Price
Quantity Item Total

1

2

3

4

5

6

7

8

9

10

Order Total:

Illinois Resident:

Sales Tax:

Shipping And Handling:

Total Amount Due:

You must enter a photo ID number to update totals.

Cover Shot text is entered in the PayPalŽ Special Instructions box on the second page

or can be E-mailed separately.

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CYCLING PHOTO-NEWS

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Please complete the following information:
Name:
Address:
City:
State:		Orders shipped to Illinois subject to sales tax
ZIP Code:
Phone:
E-mail:

Traditional Prints on Kodak^Ž or FujiŽ Paper
Item #	Photo ID Number (ARL04C4MN_DSC_0123) DO NOT INCLUDE .jpg!!	Size/Price	Quantity	Item Total
1
2
3
4
5

6
7
8
9
10
Order Total:
Illinois Resident:			Sales Tax:
Shipping And Handling:
Total Amount Due: