Life'sWeb Order Form (Items marked with an * are required)
Send form with your payment to:

Life's Web
PO Box 21172
Eagan, Minnesota USA 55121


Your address information.

This must be a home or business address. FedEX will not deliver packages to a P.O. Box.

First Name*: Last Name*:

Company /Organization:

Street Address*:

Address (cont.):

City*:

State/Province* ZIP/Postal Code*:      Select Your Country*:

__________________________________________________________________________________________________________________

Information on the photographs being ordered:

(Use the tables on the "Place an Order" page to determine the costs of matted or unmatted prints and shipping charges.)

Name of Photograph: Code Number:

1st Print: Size desired: Price/Print: Quantity: Subtotal Price:

2nd Print: Size desired: Price/Print: Quantity: Subtotal Price:

_________________________________________________________________________________________________________________________________________

Name of Photograph: Code Number:

1st Print: Size desired: Price/Print: Quantity: Subtotal Price:

2nd Print: Size desired: Price/Print: Quantity: Subtotal Price:

(If more prints are to be ordered, please attach additional order forms as needed.)

Shipping Cost (Base your shipping cost on the size of the largest print you are ordering.)

Total Price (including shipping)