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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