Print/Fax Order Form

ORDER FORM

Please print this form, complete it and fax to (708) 672-0466, or mail it to African American Images P.O. Box 1799, Chicago HTS, IL 60412

POSTAGE AND HANDLING

Pre-paid orders: Add 5.95 for the first item and 1.95 for each additional item when shipped to the same location.

Free shipping for individuals with orders over $ 75.

Orders from organizations over $ 150.00 -add 9%.

Subtotal

Postage

Total

1-800-552-1991

Credit Card Number _____________________________________________

Expiration Date ______________

Name ________________________________________________________

Signature (Required for card holders.) __________________________________________________

P.O. Box ________________

Signature (Required for Post Office shipments.)___________________________________________

Address ___________________________________________________________________

City _______________________________________ State ______ Zip ______________

Day Phone _____________________________________________________

Pricing and product availability are subject to change without prior notification.

7.5% sales tax will be added for Illinois residents

There is a $50.00 charge for returned checks.

Call now! 1-800-552-1991 Fax your orders to (708)672-0466

For Customer Service, call (708)672-4909

Receive faster service when paying by money order or credit card.

Make checks payable to:

African American Images

P.O. Box 1799

Chicago HTS IL 60412

Tel: (708)672-4909, Fax: (708)672-0466

We honor Visa/Master Card/American Express/Discover