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Order Form for Magazine Germany/Holland Website Images

Order by Mail Form - send check/money order with printed order form
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If you do not have Acrobat Reader, you may obtain a free version from Adobe by clicking on the button above.

Order Online Below - invoiced by Paypal invoice

Contact Name: Company Name:

Address:

City: State/Country: Zip Code:

Phone: Fax: Email:

Event/Title: Shipping address same as billing address.

Payment Type:
Credit Card - Paypal invoice.
Check - prepaid to

Other Address:

Quantity	Size (4x6,5x7,8x10 11x14,16x20 Usage fee).	Image Numbers: Located below the image.	Price	Total











		Shipping and Handling Fees		$5.00
		Order Total		USD $

Comments, questions and special Instructions:

Mail check or money order to:
L.A. Brown Photography
128 W. Pleasant St., Bldg D3
Manlius, NY 13104

U.S. Prices for Images:	Tax Included	Copyright Disclaimer:
4x6	$15.00	By placing this order you agree the images contained in/on this website, including but not limited to any or all text, images, logos and trademarks may not be used in any manner for any purpose, including but not limited to copying,scanning, printing, posting, emailing, without the express written permission form L.A. Brown Photography. To use any or all text, images, logos and trademarks without express written permission is a direct infringement on the Copyright Act of 1978. To obtain written permission please visit the "contact" page or call Lindsay Brown with L.A. Brown Photography at 315.440.1106. I have read the following:
5x7	$20.00
8x10	$25.00
11x14	$40.00
16x20	$60.00
Usage Fee	$40.00 (per image)
(Reprinting, website and advertising use)
1 image burned to a CD	$30.00
(In 8x10 format with rights for reprinting for personal use only)

To submit your order by email click the Submit button -