Bill Johnson Photo
PO Box 39A41 Los Angeles, CA 90039
** PLEASE PRINT CLEARLY! **
|Item Name or Number||Size||Price Each||Quantity||Total|
|Date of Order:||Total Due $|
|Please make checks or money orders payable to: Bill Johnson|
|Charge cards accepted: Visa and MasterCard|
|Credit Card #||Exp. Date:|
- [ ] Check here if you wish item to be shipped to address other than indicated above ... please write person's name and their shipping address on back of this form.
- We must include sales tax for California residents
- THANK YOU FOR YOUR ORDER!