D. C. Photographic Images

Order Form

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Print the form, fill in your order and mail to:
D. C. Photographic Images
P.O. Box 8834
Norfolk, VA 23503-0834


Or call in your credit card order (8 a.m. - 8 p.m. eastern time) to: 757-583-1115

We accept checks, money orders or
Visa and Master Card
    All items shipped by USPS.      Shipping to US addresses only

Please print clearly:

Name:___________________________________________

Address _________________________________________

City:______________________ State_____ Zip__________

Phone Number______________________     E-Mail Address___________________________ (optional)

Item Number & Description Quantity Price Each Total
___________________________________ _________ _________ _________
___________________________________ _________ _________ _________
___________________________________ _________ _________ _________
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Subtotal _________
Less Discount Coupons (Include) _________
Subtotal _________
Shipping ____$4.40
VA Residents add 4.5% Sales Tax
(or provide certification of resale and tax number)
_________
Total _________

Please make checks or money orders in US Dollars payable to:      D. C. Photographic Images
Payment:   ______ Check/Money Order        _____Visa        _____MasterCard
Card Number:__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __    Exp Date ____/____

Signature:_________________________________________________
Note:   Credit Card Order will not be processed without the signature