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Rockbridge Weekly Photo Order Form

Rockbridge Weekly EMAIL Photo Order Form
Lexington, VA 24450
Just fill out the simple form below. We'll process your order and EMAIL YOU the appropriate file(s) as soon as possible!
Forgot the photo number(s) you wanted to buy? Hit the back button to review them - then forward button to come back to the form!
Your Information
Your Name:
Your Address
City, State & Zip
Phone No. With Area Code
Your Email Address
Specific Photo Information
SLIDE SHOW NAME Or RW Edition Date & Page No.
Number of photos you wish to buy. 1 -- 2 -- 3 -- 4 -- 5
List photo numbers, separated by commas in the block below! (#1, #2, etc). Thanks
Photo #
Total Order Cost = $10 each (5 or less); $7.50 (6-10) or $5.00 each (11 or more) x No. of photos ordered.
Method of Payment
BY CREDIT CARD
Please make sure all the information is filled out correctly, then print this page and mail the printout along with your remittance to the address at the top of the page.
Type of Credit Card Master Card - - - VISA
Credit Card Number
Expiration Date /



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