Order Form

Print this order form using the print function on your browser, fill it out and send to:

EJB Editions 8833 Lake Hill Drive Lorton, VA 22079 USA (703) 690-1257 FAX (703) 690-2055
Make Checks Payable to Edith Bierly


NAME:____________________________________________________

STREET ADDRESS:__________________________________________

CITY:____________________________________________________

STATE:___________________ZIP:___________________________

COUNTRY:_________________________________________________

PHONE:______________________ BEST TIME TO CALL:__________

METHOD OF PAYMENT: CHECK OR MONEY ORDER MADE PAYABLE TO EDITH BIERLY


Shipping and Handling Fees
Within Cont. U.S.

1 - 5 prints: $15.00 total shipping charge
6 - 10 prints: $25.00 total shipping charge
Miniature Bluebird sets are priced "postage included", no add. shipping charge required.)

Prints Ordered

Print Selection #1 /price


Print Selection #2 /price


Print Selection 3 /price


Total prices /all selections


Add shipping charges (see above)


Order Total


TERMS: Payment with order. 15 day return privilege with full refund on prints. Allow 1-3 weeks for delivery


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