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Glenn K.M. Chang
4513 Doe Path Lane
Lafayette, IN 47905
Please print and use this form to place your order and send it with your payment to the address above. Please make checks
out to "Golden Light Photo Arts."
Please include the item number at the beginning of the title of an image. Indicate the size of print that you want, the
print price, or the frame price if you wish to have it framed. Use the tables on the Ordering Prints Page to calculate the
unframed or framed price, and shipping and handling charge. Indicate the number of prints that you want under quantity, and
total the print or frame price and shipping to calculate the total price.
Allow 10 to 15 business days from the time the order is received (acknowledged by email) for delivery. Add an additional
12 days for framed prints.
Bill To:
Name:_________________________________________________________________
Address:_______________________________________________________________
City: _______________State/Province: _______ Country: _______ Zipcode: ________
Telephone: _________________ Email: _____________________________________
Ship To (if different from billing address):
Name:_________________________________________________________________
Address:_______________________________________________________________
City: _______________State/Province: _______ Country: _______ Zipcode: ________
Telephone: _________________ Email: _____________________________________
Prints
Item Number: ____________ Item Name: ____________________________________
Print Size: __________ Print Price: _________ Frame Price: ________ Quantity: _____
Shipping: __________ Total Price: __________
Item Number: ____________ Item Name: ____________________________________
Print Size: __________ Print Price: _________ Frame Price: ________ Quantity: _____
Shipping: __________ Total Price: __________
Item Number: ____________ Item Name: ____________________________________
Print Size: __________ Print Price: _________ Frame Price: ________ Quantity: _____
Shipping: __________ Total Price: __________
Subtotal of all prints ordered: _____________
Colorado Sales Tax Add 3.5%: _____________
Total Due: _____________
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