Salvatore's KISS 1975

Order Form

Cost is $300 (US dollars) per print.                                 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. Paul Stanley	salvatore_no_1 _____	quantity _____
2. Paul Stanley	salvatore_no_2 _____	quantity _____
3. Gene Simmons	salvatore_no_3 _____	quantity _____
4. Gene Simmons	salvatore_no_4 _____	quantity _____
5. Ace Frehley	salvatore_no_5 _____	quantity _____
6. Ace Frehley	salvatore_no_6 _____	quantity _____
7. Ace Frehley	salvatore_no_7 _____	quantity _____
8. Ace Frehley	salvatore_no_8 _____	quantity _____
9. Ace Frehley	salvatore_no_9 _____	quantity _____
10. Ace Frehley	salvatore_no_10 _____	quantity _____
11. Peter Criss	salvatore_no_11 _____	quantity _____
12. Peter Criss	salvatore_no_12 _____	quantity _____
13. Group KISS 1975	salvatore_no_13 _____	quantity _____
14. Group KISS (artwork)	salvatore_no_14 _____	quantity _____
15. Paul Stanley (artwork)	salvatore_no_15 _____	quantity _____
16. Gene Simmons (artwork)	salvatore_no_16 _____	quantity _____
17. Paul Stanley (artwork)	salvatore_no_17 _____	quantity _____
18. Ace Frehley (artwork)	salvatore_no_18 _____	quantity _____
19. Gene Simmons (artwork)	salvatore_no_19 _____	quantity _____
20. Group KISS (artwork)	salvatore_no_20 _____	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 or by calling 1-888-893-5477. Thank you for purchasing from ConstantXposure Gallery!

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