Please Print This Page to Order
						Order by Phone, Fax, Or Mail Order
						Phone:		Mail Order
						9037851579		Rt. 11 Box 614
						Fax:		Paris, Texas 75460
						9037851579
Ordered By:						Ship To:
Name:						Name
Address:						Address
City:						City:
State,Zip						State,Zip
Phone: Day			Evening			Phone: Day			Evening
Qty.	Print Name			Remarque		Description of Remarque			Price Ea.	Total
Color Remarque		add $100				Remarque Description		Merchandise Total
						1 Deer	4 Buffalo	Shipping Total
						2 Turkey	5 Quail
I certify that I am an adult under no legal disability to						3 Duck	6 Dove
make this purchase. Signed:						Other			Subtotal
Method of Payment - Circle One						Shipping Charges		Sales Tax in Texas
MasterCard		Visa				Shipping Charge is			x .0825
Account #			Ex. Date			$10.00 Per Print
Check/Money Order (US Funds)						U.S. Only		Total Amount