1999 Pan American Games Opening & Closing Ceremonies Photo Order Form

Name

Address

City

State/Province

Postal code

Country

Daytime phone number
including country and/or area code

Evening phone number
including country and/or area code

E-mail address

Prices: 8 inch by 10 inch color photo enlargement $7 US each; 11 inch by 11 inch color photo enlargement $12 US each; 16 inch by 20 inch enlargement $23 US each.

Photographs to be ordered: please place an "X" in the box in front of each photo to be ordered.

Photo Set	Photo Number	Size	Quantity	Price










			Subtotal
			Postage
			Total

Please add postage and handling to each order: $4 US for shipping in US; $5 for shipping to Canada; and $7 for shipping outside US and Canada. All orders must be in US dollars. Payment must be with money order payable to Michael M. Miller. Please allow 2-4 weeks for arrival of your order.

Total amount enclosed $___________

Send order and payment to:
Michael M. Miller
1615 11th Avenue North
Fargo, ND 58102-3311 USA

Name
Address
City
State/Province
Postal code
Country
Daytime phone number including country and/or area code
Evening phone number including country and/or area code
E-mail address