THIS SALES FORM IS ENCRYPTED FOR SECURITY. To order Signed Photographic Prints, Posters, Calendars, Videos and CDs, please fill in the forms below and submit directly to DESIGN SYNERGY via the Submit button OR telephone or Fax an order to the following address:


DANIEL McCULLOCH - DESIGN SYNERGY
TEL: 928.282.9690  FAX: 928.282.9691
2370 West Hyw. 89A, Suite #11, #432.
SEDONA, AZ 86336

synergy@dolphinsynergy.com

Please visit Galleries for Availble Products.
Hand Signed Photographic Prints Premium Quality Cibachrome Prints
8"x10" $120.00
11"x14" $190.00
16"x20" $260.00
20"x30" $475.00
Poster Images as Hand Signed, 16"x20" Limited Edition Cibachromes, editions of 250 $300.00
Posters $28.00
Calendars $11.95
Datebooks $13.95
Videos, VHS or DVD $20.00
CD's of Whale or Dolphin recordings $18.00

Name:   Email:  
Address:   Telephone:  
Fax:  
URL:
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Credit
Card
Information

Type:   Visa or Mastercard
Expiration Date: 
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Card Number:   
INSTRUCTIONS FOR ORDERING

Please enter each item on a separate line on the order form below, stating gallery name, image number, size, type, & number of prints.
For Posters, Calendar or Datebook, simply identify name of Poster or Calendar or Datebook & Quantity. Using the price list above, please enter the subtotal. SUBMIT to Synergy. We will add the shipping charges to the order form/invoice plus sales tax for Arizona residents & e-mail the invoice back to you. You may also pay by check by leaving blank the credit card information, printing out the returned invoice with shipping charges included, then sending it with a check to the address above. Orders will typically be shipped within 48 hours.

Thank you for your order.

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