Slideshow Order Form

Name: __________________________________________________

Address: ________________________________________________

City: ____________________________________________________

State: ___________________     Zip:   _________________________

Email: ____________________________________________________

Phone: ____________________________________________________

Quantity: ___________ x $6.00 each = total: ____________________

Payment must be made in US Funds and drawn on a US bank. There will be a $25.00 service charge for any check not honored by the bank.

Print, complete, and mail this form along with your check/money order made payable to Michelle Kramer to:

Michelle Kramer
3345 Musgrove Rd.
Williamsburg, OH 45176 USA