Aerials Only Gallery

Printable Order Form

HOW TO ORDER:

Note the number and description of the picture(s) you wish to order.

Print out this order form.

Fill it out as indicated, providing a credit card number or check for payment.
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 5% 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)
How did you hear about this website?

Thank you for your order!