Foto Expression
International - FEI. |
Private Purchase Order Form ( Art ).
Date: __________________________________
First Name: _____________________ Last Name: _________________________________________
Address: _______________________________________________ City :______________________
State / Province: _______________ Zip / Post Code: ____________ Country: _____________________
Phone No : ( ____ ) ______________________ Fax No : ( _____ ) _____________________________
E-mail : __________________________________________ Other : ____________________________
Art description or Numbers: _____________________________________________________________
__________________________________________________________________________________
Total Number of Images: ____________ Total Amount: $_________ in US. Prepaid shipment: $_________
The amount must be approved with sales or operations (enter the approval code) : _____________________
Your Method of Payment: No COD's.
Type of Credit Card : __________ Holder's full name : _________________________________________
Card number : _____________________________________________ Exp. date : ________________
Western Union - Money transfer control number: _______________________________________________
Money Order by :______________________________________________________________________
Entry details: _________________________________________________________________________
For personal use only:
I understand that the images are
copyright protected, and without FPINS., FEI., or
artist's
written permission cannot be used for publishing
or commercial usage.
__________________________________
_____________________ _____________________
Signature Date: In:
Fill out the order form with all
details, signed and e-mail to: FEI - Art
To confirm
your shipment or order call: (705) 745-5770