Ordering Information



Ship to:

Street Address:

City, State

Zip

Photo Code Autographed

yes or no

Quantity Size Price

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Priority Shipping $10.00 (no additional charge for standard USPS)
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TOTAL
$


If you are ordering more than one photo selection, please make sure you fill out the options for each photo. For example, if you want two photos, reference # M-011 1440 dpi pictures, one with an autograph and one without, please fill out 2 separate lines on the form indicating the options for each photograph.

Please indicate the general autograph location below in which you would like my signature to appear. I have provided portrait and landscape options depending on the photo type you are purchasing. If no selection is made, I will place the signature where most appropriate.


Mail completed form and payment to:

Joe Belanger Photography
P.O. Box 13424
Mesa, AZ 85216-3424 USA


Thank you