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Keegan Prints
order form
PRINT THIS PAGE and mail it, with payment, to the address below
Fill in titles and quantities below:
Poster Prints |
$10 each |
Special Edition Archival Prints |
small $15 |
large $20 |
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Georgia residents add 7% sales tax
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Shipping and handling ($5 for up to 2 of each type
of print) |
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(Make check or money order payable to Charles Keegan,
US currency only) Total amount enclosed |
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| Credit Card Number |
Expiration Date |
circle
card type: Mastercard Visa
Discover |
| Print Name as is appears
on card: |
Signature
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| please PRINT shipping information |
| Name |
| Address |
Apt. # |
| City, State & Zip |
Print out this form and mail it, with
payment, to:
KEEGAN PRINTS
P.O. Box 2532
Forest Park, GA 30298 |
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