order form

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Order Form for DRBLHF merchandise
Please print out this form and mail it with your payment to DRBLHF; P.O. Box 708; Lewes, DE 19958
Item	Color	Size	Quantity Ordered	Price/Each	Total Price






Sub-total:
Plus shipping by USPS Priority Mail ($4.60 for up to 3 items plus $1 for each additional item over 3) Art work, including Deitrick prints, mounted prints, prints shipped in tubes, may require extra postage which will be added to your credit card or billed to you. Magnets and postcards, $1 shipping when ordered alone. No shipping charge on gift certificates, stickers, or bookmarks.
TOTAL AMOUNT DUE & INCLUDED WITH ORDER:
Circle payment method:	Check or MO	Master Card or Visa
	Card number:
	3-digit security code:
	Expiration date:
	Signature:
Your Name:
Mailing address:
City, state & zip code:
Phone:
Email address: