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Aerials Only Gallery

Printable Order Form

HOW TO ORDER:

  1. Note the number and description of the picture(s) you wish to order.
  2. Print out this order form.
  3. Fill it out as indicated, providing a credit card number or check for payment.
  4. Mail it to:
    Aerials Only Gallery
    801 Main St.
    Wareham, MA 02571
Go to Photo Price Chart for sizes and prices.


Photo Serial Numbers & Descriptions are found on each photo.
If you are ordering more than one please place in separate box.

Picture Number & Description Size Cost
1.


2.


3.


SUBTOTAL:
Mass. residents add 6.25% tax:
SHIPPING:
TOTAL:
Method of Payment (check one):

Check/Money Order    Visa    MasterCard   
American Express    Discover

Credit Card Number: _________________________
Exp. Date: ______________
CID#(the last 3 digit number on the back of card)______

Cardholder's Signature: ___________________________

Credit Card Billing Information (skip if paying by check):

Name:
Company:
Address:
City, State, Zip:
Country:
Telephone:
E-Mail:

Ship Photo To:

Name:
Company:
Address:
City, State, Zip:
Country:
Telephone:
E-Mail:
Any special instructions?
Gift message (if applicable)


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Thank you for your order!