Order Form

You may make your purchase with your credit card through PayPal, the most secure way to send and receive money.

For convienence, you may print out this form (horizontal layout), fill it out, and then send it to me along with a check or money order, or a Paypal confirmation, for the correct amount to:

Dale T. Strouse, 3706 NW 129th Circle, Vancouver, Washington 98685

If you have any other questions, please e-mail me or call me at home: 360-546-1544
Title of Photograph
Mount/Mat
Size
Framed
Unframed
Qty
Price
Title of Photograph Mount/Mat
Size		 Framed Unframed Qty Price
Title of Photograph Mount/Mat
Size		 Framed Unframed Qty Price
Title of Photograph Mount/Mat
Size		 Framed Unframed Qty Price
Title of Photograph Mount/Mat
Size Color 		Framed Unframed Qty Price
Title of Photograph Mount/Mat
Size		 Framed Unframed Qty Price
Title of Photograph Mount/Mat
Size		 Framed Unframed Qty Price
Make Checks or money orders payable to: Dale T. Strouse

THANK YOU FOR YOR ORDER!
TOTAL