Order form for John von Sneidern's Pirates Pictures

Name__________________

Address______________________

_____________________________

Phone________________________

E-mail________________________

Slide
number
How many
prints
How many
slides
  Slide
number
How many
prints
How Many
Slides
             
             
             
             
             
             
             
             
             

 

Total prints_____@ $1.00 = $_______

Total slides_____@ $1.00 = $_______

Mail delivery        $1.00    $_________

TOTAL                            $_________

Payment must accompany order

Prints are Kodak 4 x 6 matte finish; slides are Kodak duplicates

Questions and contact

John von Sneidern
125 Bennett Street
Fairfield, CT 06432
203-374-4141