Order Form for Photo Indexes

PRINT THIS ORDER FORM AND FILL IT OUT

NAME

STREET ADDRESS

CITY

STATE

ZIP-CODE

TELEPHONE

E-MAIL ADDRESS

NUMBER OF PHOTOCOPIES ORDERED

BE SURE TO INCLUDE WITH THIS ORDER FORM:

1. Copies of Photo Index pages with your selection of photos marked in the "Select Here" column.

2. Your check for $10.00 plus 10 cents for each photo that you have ordered.

MAIL TO:

PAT BAKER
14 WALNUT CIRCLE
HUMBOLDT, IA 50548

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