- - - - - - - - - - - - - - - - Order Form - - - - - - - - - - - - - - - -

Send a check or money order, made out to "Artist in Me L.L.C." to ...

Artist in Me, UPA Photo Book, 6311 Van Nuys Blvd., #406, Van Nuys, CA, 91401

Date _____________________

Name ___________________________________________________

Mailing Address __________________________________________

Phone ________________ email ____________________________

Number of Unsigned books ___ Number of Signed books ____

Total Price Enclosed ___________________
Include S&H (shipping & handling) in total price

S&H for Single (or first) Book via Priority Mail - $10
S&H for each additional Book via Priority Mail - $4
S&H for Single (or first) Book via Express Mail - $20
S&H for each additional Book via Express Mail - $9