ORDER FORM

To order, please print and fill out the form below and send it to the following address:

Cash, money orders or checks are accepted.

Otis Hairston, Jr.

PO Box 20656

Greensboro, NC 27420

If you have any questions send an email to ImagesbyOtis@aol.com or you may call (336) 574-2286.

Item	Qty	Price Each	Total Price
"Martin and Jesse"
Large Print (14x17)		$45.00
Mini Print (10x12)		$12.00
Note Cards (5x7)		$20.00
"The Greensboro Four"
Large Print (14x17)		$30.00
Mini Print (10x12)		$10.00
Note Cards (5x7)		$20.00
“Preservation of Justice, The 1983 North Carolina Supreme Court”		$145.00
		Shipping and Handling	$ 8.00
		Total

Make checks payable to:

A Gallery of Images by Otis, Inc.

Prints will be shipped by Insured Priority Mail

Name:
Address:
City:	State:		Zip:
Phone (business):		(home):
Email:

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