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Order Form for Grace's Photos


Please fill out this form and click "Submit", then take the resulting order page, print it out and return it along with your check and money order to:

Grace Rivera

2056 82nd St.

Brooklyn, NY 11214

  1. Please provide the following contact information:

    Name
    Title
    Organization
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Work Phone
    Home Phone
    FAX
    E-mail
  2. Please provide the following ordering information:

    QTY DESCRIPTION

    PRICE: $10 (US) Each or 3 for $25 (US)

    SHIPPING
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
  3. Please identify and describe yourself:

    Date of Birth
    Sex Male Female


Copyright 1999 [Grace Enterprises]. All rights reserved.
Revised: January 25, 2001