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To order prints, please use this form. Thank you!

(Or mail order information, credit card or check, to
Amy Stein Art, 501 Rio Grande Ave, G-3, Santa Fe NM 87501.
Or phone 505-983-2069 or FAX 505-983-4688 or E-mail to astein983@aol.com)

Please note how you would like the poster signed, to whom, and with what message

Date
QTY DESCRIPTION

Product reference list.

Please enter any comments in the space below:

BILLING

Credit Card

Cardholder Name
Card Number
Expiration Date
3 digit code   (from back of card)
Telephone
    SHIPPING
     Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
                 E-mail Important!

 
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Copyright 2002 Amy Stein Art. All rights reserved.
Revised: September 08, 2016

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