To order a photograph, print this form, fill in the shipping information, along with:

The shipping, handling, and insurance fees are $9.95 per small photo and $14.95 per large photo ordered.

Shipping Information:

Name __________________________________________________
Street Address ________________________________________
City, State, Zip ________________________________________
Home Phone ______________ Cell Phone ______________
E-mail address ___________________________

Merchandise Order

Complete Title of Photograph
Sizes of Photo and Mat

Merchandise Subtotal_______________
Shipping and Handling @ $8.95 per photo_______________
Optional Foundation for Astronomy and Spirituality Contribution (tax-deductible)_______________
TOTAL PAYMENT_______________

Make checks out to the Foundation for Astronomy and Spirituality, Inc. and mail along with the completed order form to: