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Antique Photos Order Form

Please Print

Photo 1

Photo 2

Photo 3

HiVu Photo # _______________ Photo Gallery ________________________Size Required (Miniature, Page, Ledger or Super B)_____________________Paper Finish (Heavyweight Matte or Premium Glossy) ___________________
Price (See Price List)_____________ Currency ______________

(Please duplicate form for additional photos)

Full Name ______________________________________________________
Address ________________________________________________________
City__________________________________ Province/State _____________
Postal Code/Zip _________________ Country _________________________

Signature ________________________________________________________

E-mail Address ___________________________________________________
Phone (_____) _________________ Fax (_____) _________________

Select your delivery speed once your order is cleared
___ Priority Courier 3 days $22.60 ($14.92 U.S.)___ Express Post 5 days $6.74 ($4.45 U.S.)
___ Expedited parcel 10 days $6.07 ($4.01 U.S.) or___ Regular parcel 14 days $5.47 ($3.61 U.S.)

TOTAL COST

Photo 1 $ _______________________Photo 2 $ _______________________Photo 3 $ _______________________
Photo 4 $ _______________________Photo 5 $ _______________________Photo 6 $ _______________________
Sub Total $ _____________________
Provincial Sales Tax @ 7% $ _______

(for Ontario Residents only)

Tax $ _______________Postage and Handling Costs $ _______

(select from delivery speed above)

TOTAL COST $________________

For HiVu Photo Use Only
Date Order ____________ Received ____________ Type ____________ Order Number ____________ Payment Method ____________
Date Cleared ____________ Date Order ____________ Sent ____________ Speed ____________

Comments _______________________________________________