PHOTO ORDER FORM   Please print this form and mail/email or fax with your order 

Ronald Reagan Library AV Department 40 Presidential Drive Simi Valley, CA 93065-0666 (805) 577-4006 or (800) 410-8354  Fax (805) 577-4080 steve.branch@nara.gov

PHOTO NUMBER AND DATE	NUMBER OF COPIES
1.
2.
3.
4.
5.

Please check the following appropriate information: (All 8x10 photographs are printed "Full Frame" unless otherwise indicated. Please Fax back to (805) 577-4080 or Email/Mail Form to address listed above

	8x10	11x14 (Luster finish only)	16x20 (Luster finish only)
SIZE/TYPE

	COLOR	BLACK AND WHITE	GLOSSY	LUSTER
FINISH

	JPG IMAGE (email or CD)	TIFF IMAGE (Burned on CD only)
DIGITAL (High resolution 300 dpi, 8x10)

TOTAL PRICE OF ORDER

$

Please make your check payable to "National Archives Trust Fund."  You may also pay by credit card.  All prices include First Class shipping.  Please indicate if you require UPS delivery. UPS Next/2^nd Day air is $30.00 or actual cost whichever is greater.

NAME:

ADDRESS:

CITY:

STATE/COUNTRY:

ZIP:

VISA:

MASTERCARD:

AMERICAN EXPRESS:

DISCOVER:

CHECK:

CARD NUMBER:

EXP. DATE/SEC. CODE:

SIGNATURE:

PHONE NUMBER:

UPS NUMBER:

E-MAIL: