BusterSoft Gallery (1-800-598-7238) Printable PRINT ORDER Short Form
This Is:My Only Order Today Part Of A Multi-Part Order
Print Title
QTY.
Size In.
Price Each
 Item Total 
 Homestead at Sizemore Valley .    
 .
 Bryars' Fountain Creek Bridge .    
 .
 Ducks at Hadley Marsh .    
 .
 Hatter's Mill Memories .    
 .
 Hubbard Mountain Cabin .    
 .
 The Sharecropper's  House .    
 .
 Winter at Wilson Creek Bridge .    
 .
 My Youthful Reflections .    
 .
Total Prints Ordered . Subtotal
  .
 Free My Youthful Reflections 8x10
with purchase of 2 or more Prints
.
10x8
$17.99
FREE
Standard USPS  Insured Shipping (see chart below) Shipping
  .
Optional Fedex ShippingNextDay2ndDay3rdDay
Opt.S&H
(will notify)
Alabama residents add 4% Sales Tax
Tax
  .
Make check or MO payable to BusterSoft Gallery
Total
  .
ORDERS PAID BY CHECK SHIPPED WHEN CHECK CLEARS
Name:________________________________________  Date of order:_________
Company (if applies)__________________________________________________
Street Address:______________________________________________________
 ___________________________________________________________________
City:_______________________________   State/Province: _________________
ZIP/Postal Code:___________________ Country:__________________________
Phone: _________________________  Evenings: _________________________
Payment By: Amex MasterCard Visa Check Money Order
Card Number: ______________________________________________________
Card Epiration Date: (MM/YY)   _________________________
Signature: _____________________________________________________
Billing Name & Addr (If Different):________________________________________
 ___________________________________________________________________
Comments/Special Instructions: _______________________________________
 __________________________________________________________________
Order Toll Free: 1-800-598-7238 (8a-12p est);  or FAX to 1-205-755-5586
or MAIL to: P.O. Box 131, Verbena, AL 36091
STANDARD US SHIPPING
  $200.01 - 300.00   ADD $15.00
 $0.01 - 40.00   ADD $8.50
  $300.01 - 400.00   ADD $17.50
 $40.01 - 100.00   ADD $10.00
  $400.01 - and up   ADD $20.00
$100.01 - 200.00   ADD $12.50
$475.01 - and up -   -FREE-
.
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