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Mail this form with payment to:
Becker Foto
P.O. Box 95 Lyon
Station, PA 19536
Name:________________________________________________________________
Address:____________________________________________________________________________
EMail: Phone#:
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Price
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**Total**
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PA residents
6% tax
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Shipping
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Total
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Event Name____________________________ Class:______________________
Shipping & Handling Charges:
$5.00 for all Print orders-- + $2.00 for CD's (shipped Separately)
If you are having trouble printing this page try right clicking and selecting "print"
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