Order Form

Name:
Email:
Street Address:
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I am at least 21 years old: Yes No
My order is as follows: Pic 001
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PLEASE REMEMBER: Mailing charges within the United States are:

1 to 20 Prints….$4.00   21 to 40 prints….$8.00  41 to 60 prints…. $12.00
FOR ANY ORDERS OVER 60 PRINTS,
CONTACT EDITORS AT REGIME IMPERIA

EACH ART PRINT IS ONLY $2

After sending us your order, please remember to pay via Check or Money Order to:

Regime Imperia
P.O. Box 1436
Murray Hill Station
New York, NY 10156

General Comments: