PLEASE PRINT OUT THE FORM BELOW AND
MAIL OR FAX WITH PAYMENT/INFO TO:

Anne T. Converse Photography
P.O. Box 209
Marion, MA 02738
Phone: 508.748.0638 | Fax: 508.355.0070

Print Prices: All prices are for unmounted prints, signed on the bottom right hand corner - small script. Cost of shipping included in price. If you wish to view a photo before ordering, please contact Anne at the phone number or email address listed above.
Size	Original	Duplicate From Same Negative
4" x 6"	$6.00	$4.50
5" x 7"	$17.50	$12.00
8" x 10"	$25.00	$18.00
11" x 14"	$45.00	$37.50
16" x 20"	$65.00	$47.50
Additional Charge: For prints mounted on archival fomecore with cut-out frame overlay, add:
$25 for 8" x 10"	$30 for 11" x 14"	$40 for 16" x 20"

Boat Name: _________________

Sail Number: ________________

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Subtotal:	a
Tax - 5% for MA Residents Only:	a
Amount Due:	a

Visa or Mastercard accepted. Photos will be sent upon receipt of payment. Thank You. CHECK: ____________ MONEY ORDER: __________ CREDIT CARD: __________ CARD#: _________________________________________ EXP. DATE: ___________ SIGNATURE: _____________________________________________________ DATE OF ORDER: _____________________ SHIP TO: Name:_____________________________________________________ Address:___________________________________________________ Telephone & Fax:____________________________________________ Email Address: _____________________________________________ Ordered By (If Different Than Above): Name:_____________________________________________________ Address:___________________________________________________ Email Address: _____________________________________________ SHIP TO: Name:_____________________________________________________ Address:___________________________________________________ Telephone & Fax:____________________________________________ Email Address: _____________________________________________ Ordered By (If Different Than Above): Name:_____________________________________________________ Address:___________________________________________________ Email Address: _____________________________________________

RETURN TO: | OPERA HOUSE CUP RACE, 2007 | BULLSEYE REGATTA, 2007 |
| J24 WOMEN'S OPEN CHAMPIONSHIP, 2006 | H12 CHAMPIONSHIPS, 2006 | BUZZARDS BAY REGATTA, 2006 |
| PANERAI CLASSIC YACHT CHALLENGE, 2005 | THE HOWLAND FAMILY |