PLEASE PRINT THIS FORM
THEN SEND TO THE ADDRESS BELOW WITH YOUR PAYMENT
| ITEM DESCRIPTION
Example: Steve Vai G3 R14#2A 8July 2004 | QUANTITY | AMOUNT $ | |
|---|---|---|---|
| 1 | |||
| 2 | |||
| 3 | |||
| 4 | |||
| 5 | |||
| 6 | |||
| 7 | |||
| 8 | |||
| 9 | |||
| 10 | |||
| * | SUB TOTAL | ||
| * | POSTAGE ($5.00 per PHOTO) Orders of 5-9 photos only pay $20.00 postage ! Orders of 10-20 only pay $40.00 postage ! | $5.00 X___ | |
| * | DONATION $100.00 and receive a FREE CD ! | ||
| * | ADD POSTAGE FEES AND SUB TOTAL | TOTAL $ |
FOR USA ORDERS: Please send a postal money order (sorry, no personal checks accepted) made payable to VINCENT LAGANA
PLEASE PRINT YOUR NAME AND ADDRESS IN BLOCK CAPITALS
ENTER DATE ....../....../......
Name.........................................................
Address....................................................
..................................................................
.
..................................................................
.
Country....................................................
Email:.........................................................
Send to:
VINCENT LAGANA
Via Garibaldi 111
33080 Roveredo in Piano
Pordenone, Italy
Please allow 15 days for delivery time. Overseas orders are sent by priority mail
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