HemisFair '68
Photos on CD

ORDER FORM

Please print this form out and mail it with your payment to:

Bill Cotter
17242 Van Gogh Street
Granada Hills, CA 91344

 
Item Number Ordered Price Each Total
HemisFair '68 CD Number #1   x   $10  
HemisFair '68 CD Number #2   x   $10  
HemisFair '68 CD Number #3   x   $10  
HemisFair '68 CD Number #4   x   $10  
HemisFair '68 CD Number #5   x   $10  
HemisFair '68 CD Set #1 - 5   x  $40  
Insurance (optional)   $1.70  
Shipping - US only   $7.15
Total - include your check or money order for this amount >>>>>>>>>
US dollars only, please.
 

Please include the following information. Print legibly to help speed your order.

Name  
Street Address  
City, State, Zip  
E-mail address - to be used only if there is a question about your order.  

Please note that I cannot be held responsible for uninsured packages. Checks take 10 business days to clear.