Fotobuff Studios Order Form Please Print Clearly
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Pricing		Code Number of Image		Quantity	Total
Prints from the Photomontage Gallery are 11x14 and are priced at $60 each. Their code numbers end in “A”. All other prints are 8x10 and are priced at $40 each. All prints are issued in Limited Editions of 40 and signed by the artist.
One (1) free picture for every five (5) you order.
				Subtotal
$10 for S & H within the United States, or $15 for S & H outside the United States.				Shipping & Handling
				Total
	By signing this form, I certify that I am at least 18 years of age and/or of legal age in my state/country, and that I desire to purchase what some may consider material of adult content. (This order will not be processed without my signature.) X ______________________ Date: ________
	Please make your check or money order payable to Andy Shomock and mail to: Andy Shomock 5408 Carpenter Ave., #201 North Hollywood, CA 91607-2254 Thank you for your purchase!!!