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    <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>

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<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>
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<td width="65%">
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<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>
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<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>
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<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>
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<tr>
<td align="left" valign="top">
<font size=1><b>Card Description and Price</b><br>
This is a 4 by 6 <B>vellum over color card</b> that is not folded.  The price for this card is $3.00 each which includes card with photo editing, ribbon and envelope.  The card weight paper for the back is offered in three different colors; white, pink and blue.  Your photo is changed to b&amp;w and your text is printed along with it in <b>black ink only</b> on heavy weight vellum paper.  Vellum paper is semi-transparent so the colored paper will show through from underneath.  Please indicate your typestyle font, style, and your paper color choices in the spaces provided.  Holes are punched to attach the vellum with the card paper and we provide matching ribbon.  We offer card assembly at an additonal cost.  See card assembly price below.  This card <B>does not</b> require extra postage for mailing.  Our logo is the only thing printed on the back. 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 title="Print a Release form for your photographer to Sign" href="javascript:diagram('/releaseform.htm')"><b>release</b></a> from the photographer for any professionally taken photos enclosed.</font>
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<th width="4%" align=center valign=bottom>
<FONT SIZE=1>SAMPLE #</Font>
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<th width="13%" align=center valign=bottom>
<a title="See Font Typestyle Samples" href="/fonts.htm" target="_blank"><FONT SIZE=1>TYPESTYLES</font></a><BR><FONT SIZE=1>Font Choices</FONT>
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<th width="35%" align=left valign=bottom>
<FONT SIZE=1>STYLE / DESCRIPTION</Font>
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<th width="24%" valign=bottom>
<a title="See a Virtual Color Swatch" href="javascript:diagram('/swatch.jpg')"><FONT SIZE=1>COLOR CHOICE</font></a><BR>
<FONT SIZE=1>White|Pink|Blue</Font>
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<TH WIDTH="4%" valign=bottom>
<FONT SIZE=1>QTY<br>
(Min-25)</Font>
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<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="4" 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="6">
<hr width="100%" size=1 align=right noshade>
<INPUT TYPE="text" NAME="Sample2" SIZE="4" 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="6">
</TD>
<TD valign=bottom>
<SELECT NAME="FontSelectionCard1" 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>
<hr width="100%" size=1 align=right noshade>
<SELECT NAME="FontSelectionCard2" 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>
<TD>
<SELECT NAME="Style" SIZE="1">
<OPTION>4 by 6 Vellum Overlay Halo & Wings
<OPTION>4 by 6 Vellum Overlay Clouds
<OPTION>4 by 6 Veluum Overlay No Addition</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="Color1" VALUE="white"><font size=1>White</font><INPUT TYPE="radio" NAME="Color1" VALUE="pink"><font size=1>Pink</font><INPUT TYPE="radio" NAME="Color1" VALUE="blue"><font size=1>Blue</font>
<hr width="100%" size=1 align=right noshade>
<INPUT TYPE="radio" NAME="Color2" VALUE="white"><font size=1>White Linen</font><INPUT TYPE="radio" NAME="Color2" VALUE="Natural"><font size=1>Natural Linen</font>
</TD>
<TD>
<INPUT TYPE="text" NAME="Quanity1" SIZE="4" 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="4" 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>
<FONT SIZE=1>$3.00</FONT>
<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>
</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 title="View the Proofs Page" 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="4" 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>$2.00</font>
</td>
<td align=Left valign=bottom>
<INPUT TYPE="text" NAME="ProofPrice" SIZE="6" VALUE="$" 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="2">
<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=3 align=left valign=bottom>
<font size=1><b>Card Information Front/Inside</b>
<TEXTAREA name=CardInfo rows=6 cols=40>For internet Orders. Give all special instructions, front and inside wording here.</TEXTAREA>
</td>
<td colspan=3 align=left valign=middle>
<table width="100%" height="100%">
<tr>
<td align=left VALIGN=TOP><font size=1><b>Alabama resident:</b><br>add 6% sales tax</font></td>
<td align=right VALIGN=bottom><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="6" align=left valign=bottom>
<table width="100%">
<tr>
<td width="70%" align=left valign=top>
<font size=1>
<b>Card Assembly:</b> Optional $6.00 per 25 cards<br><br>
The bows are not tied; they are actually woven through the holes.  Place the vellum over the card paper to align the holes.  From the front, take one end of your ribbon and push it through one of the holes.  Push the other end through the other hole.  Both ends of ribbon should be in the back of the card ensemble at this point.  Bring them back to the front through their opposite holes.  Trim to desired length and voila, card is assembled.
</font>
</td>
<td width="30%" align=left valign=top>
<font size=1><b>S&amp;H Charge:</b> Required</font><br>
<table border=1 width="100%">
<tr>
<th width="50%"><font size=1>Qty Cards</font></th>
<th width="50%"><font size=1>Charge</font></th>
</tr>
<tr>
<td width="50%" align=center><font size=1>25 to 50</font></td>
<td width="50%" align=center><font size=1>$10.35</font></td>
</tr>
<tr>
<td width="50%" align=center><font size=1>51 to 100</font></td>
<td width="50%" align=center><font size=1>$12.30</font></td>
</tr>
<tr>
<td width="50%" align=center><font size=1>101 to 199</font></td>
<td width="50%" align=center><font size=1>$15.75</font></td>
</tr>
<tr>
<td width="50%" align=center><font size=1>200</font></td>
<td width="50%" align=center><font size=1>Free</font></td>
</tr>
</table>
</td>
</tr>
</table>
</td>
<td align=left valign=bottom>
<font size=1>
<b>Card Assembly</b>
<br><br>
<INPUT TYPE="text" NAME="card assembly" VALUE="$" 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">
<hr width="100%" size=1 align=right noshade>
<b>S&amp;H</b><br>
<br><br>
<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?, Sample1, FontSelectionCard1, Style, Paper1, Color1, Quanity1, Price1, Sample2, FontSelectionCard2, 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, card assembly, 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>
<font size=1>
<b>Grand<br>Total</b><br><br><br><br>
<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 to provide us with your wording, placement of photograph and text.  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>
</center>
</font>
</TD>
</TR>
</table>
</td>
</tr>
</TBODY>
</TABLE>
</CENTER>
</font>
</body>
</HTML>