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NAME______________________________________________________ |
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ADDRESS____________________________________APT #_________ |
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CITY_________________________STATE___________ZIP___________ |
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PHONE____________________________________________________ |
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CELL PHONE_______________________________________________ |
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FAX_______________________________________________________ |
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E-MAIL____________________________________________________ |
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AGENT____________________________________________________ |
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AGENT PHONE_____________________________________________ |
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AGENT E-MAIL______________________________________________ |
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AGENT URL________________________________________________ |
Please specify choice of Background:______________________________________________
Please specify choice of Type Face (serif or sans-serif):________________________________
Please specify choice of Type Color:_______________________________________________
Brief description:______________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
Client list:________________________________________________________________________________________________________________________________________________ Sign below, enclose
contract, flat art**or disk and check for $450.00.
Send to the address below.
Or e-mail completed form along with PayPal payment.
A signed copy will be returned to you as a receipt.
Website construction will begin upon receipt of total amount.
Send check made payable to
Sandy Lopes
50 Avenue A #4B
New York, N.Y. 10009
212.673.6142
212.673.6304 Fax
For electronic payment, click on PayPal Logo
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PhotoTalentOnline
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* When using
.JPG or .Gif files sent to us,
we are not responsible for the image quality or resolution.
** Flat art will be returned within 10 days of scanning.
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