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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
<SCRIPT Language="Javascript">
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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 width="100%">
<tr>
<td>
<font size=1><b>Card Description and Price</b><br>
This is a <B>4Ľ by 5˝ card</b> that does not open.  The price is <B>$1.15</b> each.  It is printed on heavy weight linen paper. Linen paper is not smooth, it has cotton strands running throughout giving the paper an elegant textured consistency.  Colors offered for this card are White and Natural.  Please indicate your color choice in the space provided. You may have 1 to 4 photos and text printed on the front of this card. Please keep in mind, the more photos printed on the front, the smaller they will be.  If a post card, your text, return address, space for "mail to" address and any additional graphics of your choosing are printed on the back. If a valentine card, "to and from" name lines are printed on the back.  We can tailor any card to correspond with any theme i.e. favorite cartoon characters, holiday graphics, et cetera.  No envelopes are included with this card.  It can be mailed with post card stamps with a savings over regular postage.  Our logo is on the back in very small print. All photos are returned with your finished order.<br><br>
<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>
</td>
</tr>
</table>
<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="Font Selection for Card 1" 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>
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<TR>
<th width="11%" align=left valign=bottom>
<FONT SIZE=1>SAMPLE #</Font>
</th>
<th width="49%" align=left valign=bottom>
<FONT SIZE=1>DESCRIPTION</Font>
</th>
<th width="20%" valign=bottom>
<a href="javascript:diagram('/swatch1.jpg')"><FONT SIZE=1>COLOR 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>
<INPUT TYPE="text" NAME="Sample2" 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">
</TD>
<TD>
<SELECT NAME="Style" SIZE="1">
<OPTION>4Ľ by 5˝ Flat Post Card
<OPTION>4Ľ by 5˝ Child's Valentine Card</SELECT>
<hr width="100%" size=1 align=right noshade>
<font size=1>4Ľ 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="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>
<TD ALIGN=LEFT VALIGN=BOTTOM>
<FONT SIZE=1>$1.15</FONT>
<hr width="100%" size=1 align=right noshade>
<INPUT TYPE="text" NAME="PriceEach" SIZE="8" Value="$" 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">
</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="3" 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>
<td colspan=5 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="2" 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=5 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, 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><u>HERE</u></b></a> for card wording suggestions.<br><b>Thank you for choosing Miller Printing Studio to help you share your memories.</b>
</FONT>
</CENTER>
</TD>
</TR>
</TBODY>
</TABLE>
</CENTER>
</font>
</body>
</HTML>