To order a photograph, print this form, fill in the shipping information, along with:
Shipping Information:
Name __________________________________________________
The shipping, handling, and insurance fees are $9.95 per small photo and $14.95 per
large photo ordered.
Street Address ________________________________________
City, State, Zip ________________________________________
Home Phone ______________ Cell Phone ______________
E-mail address ___________________________
| _________________________________________ | ____________________ | __________ | ||
| __________ | ||||
| __________ | ||||
| __________ | ||||
| __________ |
| Merchandise Subtotal | _______________ |
| Shipping and Handling @ $8.95 per photo | _______________ |
| Optional Foundation for Astronomy and Spirituality Contribution (tax-deductible) | _______________ |
| TOTAL PAYMENT | _______________ |
Make checks out to the Foundation for Astronomy and Spirituality, Inc. and mail along with the completed order form to:
Dr. Joyous Judy Young
Foundation for Astronomy and Spirituality, Inc.
9 McClure St.
Amherst, MA 01002