Mirror
Images
Order by phone Call 1(307) 290-0548
MAIL ORDER:
PLEASE PRINT THIS FORM TO SEND VIA
THE POSTMASTER
Order Form... for photo-coffee-mug.com
Send your check and completed Order form and Photos to:
Mirror Images
P.O. Box 115
116 W Thompson
Sundance, Wy. 82729-0115
Name
______________________
Ship to: Name
______________________
Address
______________________
Address ______________________
______________________
______________________
City
state_____________zip______
City state_____________zip_______
email
address__________________
email address___________________
Item you are
ordering_________________ Qty_________
Price__________ Size_____ Color______
Item you are
ordering_________________ Qty_________
Price__________ Size_____ Color______
Item you are
ordering_________________ Qty_________
Price__________ Size_____ Color______
Item you are
ordering_________________ Qty_________
Price__________ Size_____ Color______
add on a transfer for $2.00___________add on your wording
$4.00________________
sub total____________
USA/Canada Shipping &
Handling (International add $6 extra).........$6.50 per item
_________
Colorado residents must add 7.51% tax.......... __________
Total enclosed __________
please include size, and any
other special
instructions________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
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please check what you are sending [
]photo [ ]disk [ ]logo [
]text [ ]other
Payment by: [ ] Check [ ] Money order
SURVEY QUESTION:
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Thank
you for ordering from photo-coffee-mug.com. We appreciate
your business and
we'll give
you top-quality service.