Order Form for Hrana Janto's Goddess Gallery

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GODDESS PRINTS
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Goddess Name       Size       Quantity        Price
===========       ====      ======        ====


   PRINT PRICES:
   8x10" -- $20 each,  2 for $30,  5 for $65,  10 for $125
   Framed 8x10"s -- $35 each,  2 for $60,  3 for $90
   13x19" -- $40 each,  2 for $60,  3 for $90
 
 

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Quantity   Goddess Oracle Kits 
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________ x  $32  =   _____________


Goddess Greeting Cards ($20 per set of 12)
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Cerridwen cards w/envelopes:  _____
Skadi cards w/envelopes:      _____
6 Cerridwen + 6 Skadi cards, w/12 envelopes:  _____

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[Continental U.S. Shipping & Handling is already Included   
(for international shipping rates, please inquire first)]
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GRAND TOTAL:

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CONTACT INFO
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Name: 
Phone: (        )
E-Mail: 
Billing Address:
City:
State: 
Zip Code:
Country: 

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SHIP TO (if different than Contact)
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Name: 
Address:
City:
State: 
Zip Code:
Country: 
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PAYMENT OPTIONS: 
_PayPal_ is currently the only choice for EMAIL orders -- please 
DO NOT email credit card information as email is not secure.

If you'd like to pay with Credit Card, please call me at 845-417-5346 with 
your credit card info to maintain security. If you'd like to pay with a personal 
check, please use U.S. Mail to send your check with your printed order form.

THANKS!