Edwin Hemsley 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. Holy End	hemsley_no_1 _____	8 x 10___	12 x 16 ___	quantity _____
2. Little Snoring	hemsley_no_2 _____	8 x 10___	12 x 16 ___	quantity _____
3. ToftTrees	hemsley_no_3 _____	8 x 10___	12 x 16 ___	quantity _____
4. Piscina One	hemsley_no_4 _____	8 x 10___	12 x 16 ___	quantity _____
5. Abandoned Pulpit	hemsley_no_5 _____	8 x 10___	12 x 16 ___	quantity _____
6. ToftTrees II	hemsley_no_6 _____	8 x 10___	12 x 16 ___	quantity _____
7. Roman Road/Peddars Way	hemsley_no_7 _____	8 x 10___	12 x 16 ___	quantity _____
8. Thursford Woods	hemsley_no_8 _____	8 x 10___	12 x 16 ___	quantity _____
9. Dead Leaves	hemsley_no_9 _____	8 x 10___	12 x 16 ___	quantity _____
10. Beach Plum	hemsley_no_10 _____	8 x 10___	12 x 16 ___	quantity _____
11. Wayland Woods Ground 3	hemsley_no_11 _____	8 x 10___	12 x 16 ___	quantity _____
12. Kew	hemsley_no_12 _____	8 x 10___	12 x 16 ___	quantity _____
13. Hatfield	hemsley_no_13 _____	8 x 10___	12 x 16 ___	quantity _____
14. Consecrated Ground	hemsley_no_14 _____	8 x 10___	12 x 16 ___	quantity _____
15. Aleshom	hemsley_no_15 _____	8 x 10___	12 x 16 ___	quantity _____
16. Hatfield #2	hemsley_no_16 _____	8 x 10___	12 x 16 ___	quantity _____
17. Hatfield #3	hemsley_no_17 _____	8 x 10___	12 x 16 ___	quantity _____
18. Sacred Grove	hemsley_no_18 _____	8 x 10___	12 x 16 ___	quantity _____
19. Sacred Grove #2	hemsley_no_19 _____	8 x 10___	12 x 16 ___	quantity _____
20. Consecrated Ground 2	hemsley_no_20 _____	8 x 10___	12 x 16 ___	quantity _____
21. Coppice	hemsley_no_21 _____	8 x 10___	12 x 16 ___	quantity _____
22. Consecrated	hemsley_no_22 _____	8 x 10___	12 x 16 ___	quantity _____
23. Fortification	hemsley_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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