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<FONT face="verdana, arial">
<CENTER>
<TABLE width="100%" borderColor="#000000" cellSpacing=0 cellPadding=5 border=1>
  <TBODY>
  <tr>
<td width="100%">
<table width="100%">
<tr>
<td width="75%" align="left">
<img src="/millerprintslogo.gif" alt="Photo Cards"> 
</td>
<td width="25%" align="right">

<a href="javascript:window.history.back()"><img src="/back.gif" alt="Go back to the previous page" border="0"></a>

</td>
</tr>
</table>
<table width="100%">
<tr>
<td width="35%">
<center>
<h6>Fill Out this Form
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and Mail to:  Miller Printing Studio<br>
6245 Goodwin Road<br>
Pinson, AL 35126<br><br></h6>
<font size=1>(205) 681-6699<br>
9 a.m. - 3:30 p.m. C.S.T., M-F<br>
email:  info@MillerPrints.com<br>
www.MillerPrints.com</font></center>
</td>
<td width="65%">
<FORM ACTION="/bin/script_library/form_handler_mail" METHOD=POST>
<font size=1>
Name:<INPUT TYPE="text" NAME="Name" SIZE="45" style="BORDER-RIGHT: #ffffff 1px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="65">
<hr width="100%" size=1 align=right noshade>
<b>Ship to</b> Address:<INPUT TYPE="text" NAME="Address" SIZE="45" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="65">
<hr width="100%" size=1 align=right noshade>
City:<INPUT TYPE="text" NAME="City" SIZE="25" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="45"> State:<INPUT TYPE="text" NAME="State" SIZE="10" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="25"> Zip:<INPUT TYPE="text" NAME="Zip" SIZE="10" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="15">
<hr width="100%" size=1 align=right noshade>
Phone with (area code):<INPUT TYPE="text" NAME="Phone" SIZE="45" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="65">
<hr width="100%" size=1 align=right noshade>
Best time to reach you if we have questions:<INPUT TYPE="text" NAME="Time" SIZE="35" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="65">
<hr width="100%" size=1 align=right noshade>
E-Mail Address:<INPUT TYPE="text" NAME="Email" SIZE="45" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="65">
<br>
<hr width="100%" size=1 align=right noshade>
May we use your photo in a sample on the web site?<INPUT TYPE="radio" NAME="UsePhoto?" VALUE="Yes"><font size=1>Yes</font> &nbsp; <INPUT TYPE="radio" NAME="UsePhoto?" VALUE="No"><font size=1>No</font>
<hr width="100%" size=1 align=right noshade>
</font></td>
</tr>
</table>
<table>
<tr>
<td width="25%">
<font size=1><b>Card Description and Price</b><br>
<table>
<tr>
<td align=left valign=top width="25%">
<table border=1>
<tr>
<th colspan=2 align="center"><font size=1>LINEN OR MATTE</font></th>
<tr>
<th align="left" width="66%"><font size=1>SIZE</font></tH>
<th align="left" width="33%"><font size=1>PRICE</font></tH>
</tr>
<tr>
<td width="66%"><font size=1>5 by 5 Square</font></td>
<td width="33%"><font size=1>$2.25</font></td>
</tr>
<tr>
<td width="66%"><font size=1>5 by 7 Full Bleed</font></td>
<td width="33%"><font size=1>$2.50</font></td>
</tr>
<TR>
<td width="66%"><font size=1>5� by 8�</font></td>
<td width="33%"><font size=1>$2.50</font></td>
</TR>
</table>
</td>
<td align=left valign=top width="75%">
<font size=1> This is the <B>basic photo card</b> that opens up.  It is offered in sizes seen on the size/price chart to the left.  The price includes envelope, photo editing, text editing and card.  It is available in heavy weight linen or photo matte paper.  Linen paper is not smooth; it has cotton strands running throughout giving the paper an elegant textured consistency.  Linen colors offered for this card are White and Natural.  Photo matte paper has a smooth matte finish and is only offered in White.  Please indicate your paper and/or color choice in the spaces provided.  This card <B>does not</b> require extra postage for mailing.  You may have 1 to 4 photos printed on the front and your text printed on the inside.  If you have more than 4 photos, please use our <a href="javascript:diagram('/orderform1.htm')"><b><b>collage card order form</b></b></a>.  Our logo is the only thing printed on the back. All photos are returned with your finished order.</font>
</td>
</tr>
</table>
<font size=1><b>Customer Agreement</b><br>
By sending a photograph(s) to Miller Printing Studio, customer decrees/warrants that he/she owns the rights to the photo(s) and has the authority to give MillerPrints permission to reproduce from the photo(s) enclosed.  Customer will send a <a href="javascript:diagram('/releaseform.htm')"><b>release</b></a> from the photographer for any professionally taken photos enclosed.</font>
<center><table>
<tr>
<td width="100%">
<font size=1>Please view our selection of fonts by clicking <a title="See Font Typestyle Samples" href="/fonts.htm" target="_blank"><b>HERE</b></a>.  Then scroll to your font here.</font> <SELECT NAME="FontSelection" SIZE="1">
<OPTION>choices
<OPTION>Amazone
<OPTION>Balmoral
<OPTION>Bickley
<OPTION>Bookworm
<OPTION>Cleaver
<OPTION>Coventry
<OPTION>Curlz
<OPTION>Edwardian
<OPTION>English
<OPTION>Fastrac
<OPTION>Fleurish
<OPTION>French
<OPTION>Garamond
<OPTION>Imprint
<OPTION>Jester
<OPTION>Keep
<OPTION>Kristen
<OPTION>Liberate
<OPTION>Little
<OPTION>Marriage
<OPTION>Miller
<OPTION>Nuncio
<OPTION>Papyrus
<OPTION>Paris
<OPTION>Royal
<OPTION>Steamer
<OPTION>Turtles
<OPTION>Walt Drape
</SELECT>
</td>
</tr>
</table></center>
<CENTER><TABLE  WIDTH="100%"  BORDER=1>
<TR>
<th width="10%" align=left valign=bottom>
<FONT SIZE=1>SAMPLE #</Font>
</th>
<th width="30%" align=left valign=bottom>
<FONT SIZE=1>SIZE / DESCRIPTION</Font>
</th>
<TH WIDTH="15%" VALIGN=BOTTOM>
<FONT SIZE=1>PAPER CHOICE<BR>
Linen / Matte</FONT>
</TH>
<th width="15%" valign=bottom>
<a href="javascript:diagram('/swatch1.jpg')"><FONT SIZE=1>LINEN CHOICE</a><BR>
White / Natural</Font>
</TH>
<TH WIDTH="10%" valign=bottom>
<FONT SIZE=1>QTY<br>
(Min-25)</Font>
</TH>
<TH WIDTH="10%" valign=bottom>
<FONT SIZE=1>PRICE</Font>
</TH>
<TH WIDTH="10%" valign=bottom>
<FONT SIZE=1>TOTAL</Font>
</TH>
</TR>
<TR>
<TD>
<INPUT TYPE="text" NAME="Sample1" SIZE="12" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="12">
<hr width="100%" size=1 align=right noshade>
<font size=1>Matching</font>
</TD>
<TD>
<SELECT NAME="Style" SIZE="1">
<OPTION>5 by 5 Folded Card
<OPTION>5 by 7 Folded Card
<OPTION>5� by 8� Folded Card</SELECT>
<hr width="100%" size=1 align=right noshade>
<font size=1>4� by 5� Thank Yous?</font><INPUT TYPE="radio" NAME="MatchingThankYouCards?" VALUE="Yes"><font size=1>Yes</font><INPUT TYPE="radio" NAME="MatchingThankYouCards?" VALUE="No"><font size=1>No</font>
</TD>
<TD>
<INPUT TYPE="radio" NAME="Paper1" VALUE="linen"><font size=1>Linen</font><INPUT TYPE="radio" NAME="Paper1" VALUE="matte"><font size=1>Matte</font>
<hr width="100%" size=1 align=right noshade>
<INPUT TYPE="radio" NAME="Paper2" VALUE="linen only"><font size=1>Linen Only</font>
</TD>
<TD>
<INPUT TYPE="radio" NAME="Color1" VALUE="white"><font size=1>White</font><INPUT TYPE="radio" NAME="Color1" VALUE="natural"><font size=1>Natural</font>
<hr width="100%" size=1 align=right noshade>
<INPUT TYPE="radio" NAME="Color2" VALUE="white"><font size=1>White</font><INPUT TYPE="radio" NAME="Color2" VALUE="natural"><font size=1>Natural</font>
</TD>
<TD>
<INPUT TYPE="text" NAME="Quanity1" SIZE="8" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="8">
<hr width="100%" size=1 align=right noshade>
<INPUT TYPE="text" NAME="Quanity2" SIZE="8" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="8">
</TD>
<TD ALIGN=LEFT VALIGN=BOTTOM>
<INPUT TYPE="text" NAME="PriceEach" SIZE="8" VALUE="$" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="8">
<hr width="100%" size=1 align=right noshade>
<FONT color="#999999" SIZE=1>$1.35</FONT>
</TD>
<TD ALIGN=LEFT valign=bottom>
<INPUT TYPE="text" NAME="Price1" SIZE="8" VALUE="$" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="8">
<hr width="100%" size=1 align=right noshade>
<INPUT TYPE="text" NAME="Price2" SIZE="8" Value="$" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="8">
</TD>
</TR>
<tr>
<td colspan="4" align=left>
<FONT size=1><b>Proof:</b> Optional $2.00</FONT><BR> <INPUT TYPE="radio" NAME="proof" VALUE="yes, email it to me"><FONT size=1>Yes, email it to me.<INPUT TYPE="radio" NAME="proof" VALUE="yes, post it on the proofs page">Yes, post it on the <a href="javascript:diagram('/proofs.htm')"><b>proofs page</b></a> for me.<BR> <INPUT TYPE="radio" NAME="proof" VALUE="no, process my order without a proof to expedite shipment">No, process my order without a proof to expedite shipment.</FONT>
</td>
<td align=left valign=bottom>
<INPUT TYPE="text" NAME="ProofQuanity" SIZE="8" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="8">
</td>
<td align=left valign=bottom>
<font size=1>$2.00</font>
</td>
<td align=Left valign=bottom>
<INPUT TYPE="text" NAME="ProofPrice" SIZE="8" VALUE="$" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="8">
</td>
</tr>
<tr>
<td colspan="4" align=left>
<table width="100%">
<tr>
<td colspan="3">
<FONT size=1><b>Return Addressed Envelopes:</b> Optional .15� each</FONT>
</td>
</tr>
<tr>
<td width="25%">
<INPUT TYPE="radio" NAME="return addressed envelopes" VALUE="Yes"><FONT size=1>Yes</FONT><BR>
<INPUT TYPE="radio" NAME="return addressed envelopes" VALUE="No"><FONT size=1>No</FONT>
</td>
<td width="75%" align=left valign=bottom>
<font size=1>
Name:<INPUT TYPE="text" NAME="return address name" SIZE="40" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="50">
<hr width="100%" size=1 align=right noshade>
Street:<INPUT TYPE="text" NAME="return address street" SIZE="40" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="50">
<hr width="100%" size=1 align=right noshade>
City / State / Zip: <INPUT TYPE="text" NAME="return address city state zip" SIZE="40" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="40"></font>
</td>
</tr>
</table>
</td>
<td align=left valign=bottom>
<INPUT TYPE="text" NAME="return address quanity" SIZE="8" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="8">
</td>
<td align=left valign=bottom>
<font size=1>$.15</font>
</td>
<td align=Left valign=bottom>
<INPUT TYPE="text" NAME="return address price" SIZE="8" VALUE="$" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="8">
</td>
</tr>
<tr>
<td colspan="6" Align=left valign=bottom>
<table width="100%">
<tr>
<td align=left VALIGN=TOP><font size=1><b>Alabama resident:</b> add 6% sales tax</font></td><td align=right VALIGN=TOP><a href="javascript:diagram('/calculator.htm')"><font face="verdan,arial" size=1><u>Click for Calculator</U></font></a></td></tr></table>
</td>
<td align=left valign=bottom>
<INPUT TYPE="text" NAME="tax" SIZE="8" VALUE="$" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="8">
</td>
</tr>
<tr>
<td colspan="3" align=left valign=bottom>
<font size=1><b>Card Information Front/Inside</b>
<TEXTAREA name=CardInfo rows=5 cols=40>For internet Orders. Give all special instructions, front and inside wording here.</TEXTAREA>
</td>

<td colspan="3" align=left valign=top>
<font size=1><b>S &amp; H Charges:</b> Required</font>

<table width="100%" border="1">
<tr>
<td width="50%"><font size=1>25 to 50 Cards</font></td>
<td width="50%"><font size=1>$10.35</font></td>
</tr>
<tr>
<td width="50%"><font size=1>51 to 100 Cards</font></td>
<td width="50%"><font size=1>$12.30</font></td>
</tr>
<tr>
<td width="50%"><font size=1>101 to 199 Cards</font></td>
<td width="50%"><font size=1>$15.75</font></td>
</tr>
<tr>
<td width="50%"><font size=1>200</font></td>
<td width="50%"><font size=1>Free</font></td>
</tr>
</table>
</td>
<td align=left valign=bottom>
<INPUT TYPE="text" NAME="S&amp;H" VALUE="$" SIZE="8" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="8"></font>
</td>
</tr>
<tr>
<td colspan="6" align=left valign=bottom>
<table width="100%">
<tr>
<td width="75%">
<font size=1><b>Total: </b>For mail orders, make FULL payment by check payable to Miller Printing Studio.<br>(Returned check charge is $30)<br>
or provide credit card information below<br><br>
Amex|MC|Visa|Discover #  ________________________________ exp ______ / ______
<br><br>
Signature___________________________________________________________

     </font>
</td>
<td width="25%" align=right valign=bottom>
<INPUT TYPE="hidden" NAME="end_display" VALUE="/confirm.htm">
<INPUT TYPE="hidden" NAME="order" VALUE="Name, Address, City, State, Zip, Phone, Time, Email, UsePhoto?, FontSelection, Sample1, Style, Paper1, Color1, Quanity1, Price1, MatchingThankYouCards?, Paper2, Color2, Quanity2, Price2, proof, ProofQuanity, ProofPrice, return addressed envelopes, return address name, return address street, return address city state zip, return address quanity, return address price, tax, S&amp;H, CardInfo, GrandTotal">
<font size=1>
If ordering via internet, click the "Order Now" button below and payment may be made on the next page.<br><br><INPUT type=image src="/submit.gif" alt="send your order via email"
name=xbutton> 
</td>
</tr>
</table>
</td>
<td align=left valign=bottom>
<INPUT TYPE="text" NAME="GrandTotal" SIZE="8" VALUE="$" style="BORDER-RIGHT: #ffffff 0px solid; BORDER-TOP: #ffffff 0px solid; font size: 11px; BACKGROUND: #ffffff; BORDER-LEFT: #ffffff 0px solid; COLOR: #333333; BORDER-BOTTOM: #ffffff 0px solid" MAXLENGTH="8"></font>
</form></td>
</tr>
</table>
<center>
<FONT size=1>For mail orders, please use the back of this order form, a separate sheet of paper, and/or write on the back of each photo to provide us with your wording, placement of photographs, text and graphics.  Be specific as to which color or photo should be the background and where you want photo(s) and text to be placed.  Click <a href="/wording.htm" TARGET="_BLANK"><b>HERE</b></a> for card wording suggestions.<br><b>Thank you for choosing Miller Printing Studio to help you share your memories.</b>
</FONT>
</CENTER>
</center>
</TD>
</TR>
</TBODY>
</TABLE>
</CENTER>
</font>
</body>
</HTML>