| Name: | Email: | ||
| Phone: | Payment: Check or money order only, made payable to Tyra L. Smith |
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Address: |
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| Vintage Photos from the 1800's | |||
| 1800's Collection 1 QTY Ordered: _____ |
1800's Collection 2 QTY Ordered: _____ |
1800's Collection 3 QTY Ordered: _____ |
1800's Collection 4 QTY Ordered: _____ |
| 1800's Collection 5 QTY Ordered: _____ |
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| Vintage Photos from the early 1900's | |||
| 1900's Collection 1 QTY Ordered: _____ |
1900's Collection 2 QTY Ordered: _____ |
1900's Collection 3 QTY Ordered: _____ |
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| Vintage Art from the 1800's | |||
| Animals QTY Ordered: _____ |
Life at Sea QTY Ordered: _____ |
Religious QTY Ordered: _____ |
Far East QTY Ordered: _____ |
| Scenic 1 QTY Ordered: _____ |
Scenic 2 QTY Ordered: _____ |
Scenic 3 QTY Ordered: _____ |
Scenic 4 QTY Ordered: _____ |
| Portraits 1 QTY Ordered: _____ |
Portraits 2 QTY Ordered: _____ |
Portraits 3 QTY Ordered: _____ |
Plants QTY Ordered: _____ |
| The Men QTY Ordered: _____ |
Women & Children QTY Ordered: _____ |
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| Total Number of CD's Ordered: ________ | Amount Enclosed: ________________ | ||
| Completed order form and check or money order should be mailed to: Tyra L. Smith, 128 Fourth Avenue, Pulaski, WI, 54162-9216 Phone: (920) 822-4730 Email: Cloud9@netnet.net http://netnet.net/~cloud9 |
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