Photo order
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CARD NUMBER: SEC CODE:
EXP. DATE:
PHOTO ORDER FORM Please print this form and email/mail 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.
6.
7.
8.
9.
10.
Please Email/Mail Form to address listed above or Fax back to (805) 577-4080.
All Digital images will be sent by email or email download.
Please fill out the following appropriate information below.
JPG IMAGE (email) TIFF IMAGE (email download)
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. Please include expiration
date.
NAME:
ADDRESS:
CITY: STATE/COUNTRY: ZIP:
VISA: MASTERCARD: AMERICAN EXPRESS: DISCOVER: CHECK:
SIGNATURE: PHONE NUMBER:
E-MAIL:
click to sign
signature
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