JILL HENRY DESIGN- ORDER FORM

Thank you for your interest in my work.

At this time, only the photographs are available for online ordering.
Limited edition prints of the Polaroid transfers, SX-70 manipulations and emulsion lifts represented
on this website are mounted and matted using museum quality, archival materials.

The actual image size of the transfer prints is 4 by 5 inches mounted in an 8X10" white mat.
SX-70 prints are 4.5 by 4.5 inches mounted in an 8X10" white mat.
Larger sizes are available. All images are signed and include a description of the process.

Each matted print = $35 Two = $65 Three = $85. Prices include tax.
Shipping/handling per order = $6.00 in US; $10.00 INT

Fill out this form, print it and mail with a check or money order in U.S. dollars to:
Jill Henry P.O. Box 152 Petaluma, CA 94953-0152 USA

Name :

Address :

City :

State/Province : Zip Code :

Country :

Telephone : Fax:

E-Mail Address:

Title of photograph
(Choose an image from this drop-down menu)

Number of prints of this photograph
1 2 3

Title of photograph
(Choose an image from this drop-down menu)

Number of prints of this photograph
1 2 3

Title of photograph
(Choose an image from this drop-down menu)

Number of prints of this photograph
1 2 3

Please print and submit another form when ordering more than 3 different images.
Inquire about volume discounts. The images are also available for licensing.

Your satisfaction is guaranteed. If for any reason the purchase does not meet your expectations,
contact me within three (3) days for return instructions. Please allow 2-4 weeks for delivery.

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