Print this page and fill out all information, send it with your photo and a check or money order  payable to:

Kristie O'Brien
4430 Copperfield Lane NW
Rochester, MN 55901

Shipping Order Form

Billing Information
Full Name:  
Address:  
City:  
State:  
Zip or Postal Code:  
Country:  
Telephone Number:  
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Purchase Information
1. Item Number:   Quantity:  
Photograph note:   Price:  
2. Item Number:   Quantity:  
Photograph note:   Price:  
3. Item Number:   Quantity:  
Photograph note:   Price:  
4. Item Number:   Quantity:  
Photograph note:   Price:  
5. Item Number:   Quantity:  
Photograph note:   Price:  
  Total Price:

 

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