continental US orders
******print out form-- fill in and send******
eco creations
Joan Severance official site
how many
LIMITED
EDITION
x $25.00
total in USD$ =
=
=
=
=
x $2.00 =
shipping&handling to continental US addresses only
photo quantity
Autograph Order Form(continental US only) ALL others areas click here
YourName: _____________________________________________
Ship to Name&Address: _____________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
e-mail: ____________________________________________________
to notify you of receipt/shipping or your request
SEND TO:
Joan Severance
Attn: Autographs
P.O.Box 282
Carbondale, CO 81623
JoanSeverance.com official site
Order Total inc.
tx & s&h
=
Send Order Total amount in USD Money Order TO:
Joan Severance
Attn: Autographs
P.O. Box 282
Carbondale, CO 81623
price in USD$
total in USD$
x $20.00
x $25.00
x $40.00
if you have a special inscription please note on the back of this form or another paper and include with order
A
B C
A
B C
A
B C
A
B
C
D
D
D
D
E
=
x $30.00
E
CO orders ONLY: multiply the total in USD by the proper sales tax rate
=
within GARFIELD cnty X 3.9%
all other CO X 2.9%
=
