JHP Images
Order Form

NOTE: Print out this frame, fill it out, and send it, along with a check or money order to the address at the bottom. If you wish to purchase additional different order numbers, list them on a seperate piece of paper.

 Name:  __________________________________________________________
 Mailing Address:  __________________________________________________________
 City:  __________________________________________________________
 State:  __________________________________________________________
 Zip:  __________________________________________________________
 Home Phone:  __________________________________________________________
 Work Phone:  __________________________________________________________
   
Check one:

 Check  Money Order

 Quantity  Title  Order No.  Price  Subtotal
 _______  Fine Art - mounted & matted
 without frame
 _____________  $299.00 ea.  $___________
 _______  Fine Art - mounted & matted
 with frame
 _____________  $399.00 ea.  $___________
         
 _______  SHIPPING (U.S.)    $12.50 ea.  $___________
         
       Total:  $___________

Send your check or money order to:

jim henken photography
8548 paso robles avenue, northridge, california 91325
studio: 818.988.8612
cell: 213.247.7154