Max Du Voir Order Form Available print sizes and cost: 8 x 10 ... $200 / 12 x 16 ... $300     You may fax your order by using the form below, printable from your web browser on standard 8 1/2 x 11 paper and fax to: 1-212-979-7291. Thanks for ordering from ConstantXposure Gallery!

1. staten island ferry	duvoir_no_1 _____	8 x 10___	12 x 16 ___	quantity _____
2. guggenheim	duvoir_no_2 _____	8 x 10___	12 x 16 ___	quantity _____
3. the hook	duvoir_no_3 _____	8 x 10___	12 x 16 ___	quantity _____
4. grand canyon	duvoir_no_4 _____	8 x 10___	12 x 16 ___	quantity _____
5. south beach #6	duvoir_no_5 _____	8 x 10___	12 x 16 ___	quantity _____
6. south beach #7	duvoir_no_6 _____	8 x 10___	12 x 16 ___	quantity _____
7. south beach #5	duvoir_no_7 _____	8 x 10___	12 x 16 ___	quantity _____
8. south beach #8	duvoir_no_8 _____	8 x 10___	12 x 16 ___	quantity _____
9. south beach #10	duvoir_no_9 _____	8 x 10___	12 x 16 ___	quantity _____
10. south beach #9	duvoir_no_10 _____	8 x 10___	12 x 16 ___	quantity _____
11. spring lake	duvoir_no_11 _____	8 x 10___	12 x 16 ___	quantity _____
12. arizona	duvoir_no_12 _____	8 x 10___	12 x 16 ___	quantity _____
13. anywhere on an island	duvoir_no_13 _____	8 x 10___	12 x 16 ___	quantity _____
14. da - what da ya think?	duvoir_no_14 _____	8 x 10___	12 x 16 ___	quantity _____
15. union 76	duvoir_no_15 _____	8 x 10___	12 x 16 ___	quantity _____
16. magritte opened	duvoir_no_16 _____	8 x 10___	12 x 16 ___	quantity _____
17. do they ride bikes in chinatown?	duvoir_no_17 _____	8 x 10___	12 x 16 ___	quantity _____
18. how they breakin?	duvoir_no_18 _____	8 x 10___	12 x 16 ___	quantity _____
19. fences	duvoir_no_19 _____	8 x 10___	12 x 16 ___	quantity _____
20. ain’t it the perfect vacation?	duvoir_no_20 _____	8 x 10___	12 x 16 ___	quantity _____
21. east hampton poles	duvoir_no_21 _____	8 x 10___	12 x 16 ___	quantity _____
22. some dark alley in berlin	duvoir_no_22 _____	8 x 10___	12 x 16 ___	quantity _____
23. turkish gold	duvoir_no_23 _____	8 x 10___	12 x 16 ___	quantity _____

For shipping within the Continental USA, charges are included in the cost of each order! Customers outside the Continental USA (Canada, Puerto Rico, Alaska, Hawaii, APO, FPO and all international orders) please add $28 for shipping and insurance cost via UPS or Parcel Post.

Grand Total

_______________

Credit Card: (circle one)	Visa	Mastercard	Discover	American Express
Card Number:	_____________________________
Expiration Date: (on card)	_____________________________
Name: (on card)	_____________________________

Ship To:
Name:_____________________________	Zip code:_____________________________
Address:_____________________________	Country:_____________________________
City:_____________________________	Phone Number:_____________________________
State:_____________________________	Email:_____________________________

If you have any questions, you can contact us via at sales@constantxposure.com. Thank you for purchasing from ConstantXposure Gallery!

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