Don Stine Communications & Photography
17002 Telge Road · Cypress, TX 77429

 Phone: 281-290-7800 · Don: 832-289-2250 · Fax: 707--516-0716 

Printable mail or fax order form

Ship To:
Name:________________________________________________________________________________

Address:______________________________________________________________________________

City:__________________________________ State:_________________  Zip:______________

Office Phone: _________________________   Home Phone: _______________________

Email:_________________________________   Name of Show:__________________________

Quantity

Size

 Proof # (Ex. DSC_0021)

Price

TOTAL
         
         
         
         
         
         
         

Photo Subtotal $

 

Rush Orders (48 hrs) Add 100% of Photo Subtotal $

 

1st Class Shipping & Handling ($8.00 US - $10.00 Canada)

 

Taxable Subtotal $

 

TX Residents add 7.25% Sales Tax on Taxable Subtotal

 

TOTAL $

 

ORDERING ENLARGEMENTS:  Please include full payment with order.   Make checks payable to DON STINE COMMUNICATIONS at above address.  Mail or Fax to above address or Fax number. Allow 2 - 6 weeks for processing depending on our show schedule (2 - 3 weeks normal).

METHOD OF PAYMENT:  ENCLOSED CHECK  # ________________

(Please circle one)
VISA · MASTERCARD · AMERICAN EXPRESS # _____________________________________________ EXP. DATE_____________ CSC_____________

NAME ON CARD (print):___________________________________ SIGNATURE:_________________________________________

ADDRESS ON CARD (print):_________________________________________ CITY:___________________ ST/PROV:________________   ZIP/POSTAL CODE:___________

NOTICE: All photographs are copyright protected. Reproduction in any form must have written permission from Don Stine Communications©.