USS Arizona Memorial Photo Order Form
| ARIZONA MEMORIAL MUSEUM ASSOCIATION No. 1 Arizona Memorial Place Honolulu, HI 96818 FAX (808) 483-8608 |
A fee to cover the photo/slide reproduction, shipping and handling may be charged as follows: $5.00 U.S. for each 8x10 photograph; $3.00 U.S. for each slide. |
Name __________________________________________________ Date __________ Publication ___________________________________ Date reqired ____________ Address _________________________________________________________________ _________________________________________________________________________ Phone number _______________________ Fax number ________________________ Intended use ____________________________________________________________ Method of payment (VISA/Master Card/American Express) Card number ___________________________________ Exp Date _______________ Authorized Signature __________________________
| Photo ID no. | Description of photograph | Unit Price | Qty. | Extended Cost |
|---|---|---|---|---|
| Total amount remitted | ||||