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  203 Santa Rosa Creek Rd. Templeton CA, 93465
(805) 239-2739. Call first before faxing.
 
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Print Order Form, fill out, and fax or mail to us.
Billing Information:  
Name _______________________________________________ __________
Street _______________________________________________ __________
City _______________________State/Country_____________ Zip________
Phone _________________________best time to call_________ __________
Shipping Information (if different from billing info):  
Name _______________________________________________ __________
Street _______________________________________________ __________
City _______________________State/Country_____________ Zip________
Phone _________________________best time to call_________ __________


line Item quantity price total cost
1 _________________________________________________ ________ ___________ ___________
2 _________________________________________________ ________ ___________ ___________
3 _________________________________________________ ________ ___________ ___________
4 _________________________________________________ ________ ___________ ___________
5 _________________________________________________ ________ ___________ ___________
6 _________________________________________________ ________ ___________ ___________
7 _________________________________________________ ________ ___________ ___________
8 _________________________________________________ ________ ___________ ___________
Payment method (circle one): credit card/check/money order   subtotal ___________
Make checks payable to L. E. Newsum Studios.   tax
(if applicable)
___________
  Resale License # (if required)_________________________   shipping ___________
    order total ___________
       
Signed:______________________________________________ Date:___________
Special instructions: