* Required Field--------------Please provide the following  CONTACT and  SHIPPING  Information:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
* E-mail
URL-http://www.

Please provide the following information regarding Formatting and Image Use:

Resolution Configuration	72 pixels/inch (for web)=21" x 14" 150 pixels/inch (multi-use)=10" x 6.5" 300 pixels/inch (print)=5.1" x 3.4" OTHER, please NOTE in Special Instructions -approximately 4.5 MB (1536 x 1024 pixels)
Operating Platform	PC MAC

 

Please CHOOSE NUMBER AND COST OF 4.5 MB IMAGES-

THREE IMAGES-$ 67.99 (Minimum Order) FOUR IMAGES-$ 86.99 FIVE IMAGES-$ 104.99 SIX IMAGES-$ 124.99 SEVEN IMAGES-$ 143.99 Price Includes USPS Air Priority AND  Delivery Tracking & Confirmation. 

Delivered on  Kodak Ultima ® CD-ROM Compact Disc with Jewel Case.

In California please add 7.25% to the total.  For NEXT DAY AIR OR Delivery outside the USA; please add $9.00 to total.

Please provide the following Ordering Information:      (How to Find Image Numbers)

Image Number	DESCRIPTION

BILLING Choose one of the following Payment options: FOR SECURE CREDIT CARD TRANSACTIONS AN ELECTRONIC INVOICE WILL BE EMAILED  TO YOU. Send Check Online Credit Card / Check Debit Transaction ANTHROARCHEART.ORG; P.O. BOX 591196 SAN FRANCISCO, CA. 94159-1196

Royalty Free	LICENSE INFORMATIONCHECK if same as ABOVE
NAME
Street Address
City
State/Province
Zip/Postal code
Country

Images are processed and shipped within 24 hours of  ONLINE CREDIT PAYMENT or RECEIPT OF CHECK.

PLEASE Enter any SPECIAL INSTRUCTIONS below: (Additional Image Numbers, Your Company Fed Ex Account Number,

  Request JPEG Images sent by EMAIL or DOWNLOAD TIFF FILES via FTP).

Be Sure To SUBMIT This FORM;

Please be patient, processing this form may take a few minutes! THANK YOU