How to purchase 2005 WIOUWASH Quad prints

Print out and complete this page
Write a check payable to "Town of Clayton Trail Fund"

Send the check and this form to:
William Kelly
2645 Sunnyview Rd
Appleton, WI 54914

Please print clearly
Name ___________________________________________
Address ___________________________________________
City _____________________ State____ Zip ___________
email address ___________________________________________
Phone # _________________________ (day)

Photo # (e.g. D83V7742.jpg)

Photo # _________________ Qty___ 8x10 $15 = $________
  Qty___ 5x7 $10 = $________
           
Photo # _________________ Qty___ 8x10 $15 = $________
  Qty___ 5x7 $10 = $________
           
Photo # _________________ Qty___ 8x10 $15 = $________
  Qty___ 5x7 $10 = $________
           
Photo # _________________ Qty___ 8x10 $15 = $________
  Qty___ 5x7 $10 = $________
           
Total         $________
           

Note: if you paid cash for your photo on the day of the Quad,
send an email to wkelly@jjkeller.com noting the photo(s) and size print(s) you want.