Mail Order Form To Print this Form -  right click on your mouse and select print. Name:   Address:       Street   City/State   Zip Code   Phone   Cell   Email   Name of Print: **Required   Please check my galleries for Print and Size Availability:   Price and Size Quantity Total Print $75.00     16 x 20       $75.00     11 x 14       $25.00     8.5 x 11     Shipping $25.00     Sub-Total       Texas Residents Only Add 8.25% Sales Tax             Total Please send check or money order to: Dirk Peterson 6241 CR 448 Navasota, TX 77868 Allow 6-8 weeks for shipping and handling Any Questions Please Call 936-873-5031

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