Order form for "Aldie" print. Please print legibly........ Your Name:________________________________________________________________________________ Your Adress:_______________________________________________________________________________ ________________________________________________________________________________ Phone #:___________________________________________________________________________________ E-mail:___________________________________________________________________________________ Number of Prints:______________ Prints.................................................$250.00 Shipping..............................................$ 5.00 Insurance, optional, but recomended.........$3.00 Total...................................................$258.00 Tax deductible portion...........................$132.00 I will notify you by E-mail when your print(s) are shipped. Please return this page with check made out to The Institute Foundation to: Eleanor Hartwell 287 Campground Road Wilmot, New Hampshire, 03287 Phone: 603-526-4589 E-mail: Amazon444@hotmail.com There is NO sales tax in New Hampshire. BACK |