Print This Form And Send Photograph Request To:   

John S. Krill
1361 Terrace Way
Laguna Beach, CA 92651
USA

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Buyer Information:

Name: ______________________________________________________

Address: ___________________________________________________

City: ______________________________________________________

State: ____________________________________ZIP:_____________

Country: ___________________________________________________

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Order Information:

Photograph File Name: ______________________________________

Photograph Description:_____________________________________

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Cost: $50.00US per print plus 7.75% Sales Tax for California Buyers.