MiningUSA

Order Form

All sales are handled directly by R.L. Mundell. We are unable to accept and process online sales at this time. Please print and complete this convenient form and forward with payment to the address specified below.

Please Allow 4 - 6 weeks for delivery

Price: 16" X 20" Prints
Framed - $169.00 each
Print Only - $64.00 each		 Price: 11" X 14" Prints
Print Only - $39.95

 

 Frame Styles
A - Old World Pewter
B - Gray Pewter
C - Satin Black
Billing Information
(Please PRINT)

Name:
Street:
RFD/P.O. Box:
City/State/Zip:
Daytime Phone Number: ____________________

 Shipping / Gift Address: (circle one)
(Only if different from address at left. Must be a street address)

Name:
c/o:
Street or Route:
City/State/Zip:
Item No. Qty. Description Price Each Total
         
         
         
         
         
Mail Check or Money Order Payable to:

R. L. Mundell
14472 W. Center Drive
Lakewood, CO 80228

 Total For Above Items
add 6.3% - CO only		  
S & H
Framed Picture $19.95
ea. additional - $9.95
Print only - $4.95		  
 
TOTAL AMT. DUE  

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