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Item #
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Description
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Item Price
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Qty.
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Total Price
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Merchandise Total
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MD Residents must include 5% Sales Tax
(Merchandise Total X $.05)
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(MD Residents Only) Merchandise Plus Tax
Total
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Shipping Charges for Print Sizes
up to 8” x 10”: $4.00
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Shipping Charges for Print Sizes
up to 20” x 30”: $6.00
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Total (Including Shipping)
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Customer Information
Name:___________________________________
Address:_________________________________
City:_____________________________________
State:____ ZipCode:______________
Phone: ____-____-________
Email Address:
_____________________________
Please send Check or
Money Order Payable to Brad Speierman at:
Speierman Sports Photography
10182 Cape Ann Drive
Columbia, MD 21046
Attention: Print Order
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