******print out form-- fill in and send******

all other areas

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eco creations

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Joan Severance official site

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            severanceBlogseveranceSays/severanceSays.htmlseveranceSays/severanceSays.htmlshapeimage_13_link_0
 

how many

LIMITED

EDITION

x  $25.00

total in USD$   =

=

=

=

=

x   $5.00    =

photo quantity

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 with ship&handling

   =

Send 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

Autograph Order Form (non-continental US)                                     click here for Continental US order form           

shipping&handling to all other areas outside the continental US

Send Order Total amount with an International Draft in USD made out to:       Joan Severance