International Al Jolson Society  Photo Department Order Form

     provided via A.J.Recordings featuring Al Jolson
                  http://www.jolson.org/

_________________________________________________________ 
|Photo Number|       5x7       |       8x10      |Totals|
|            |    $4/photo     |$7/photo|$5/print|      |
+------------+--------+--------+--------+--------+------+
|DK-1-01     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-02     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-03     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-04     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-05     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-06     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-07     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-08     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-09     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-10     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-11     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-12     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-13     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-14     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-15     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-16     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-17     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-18     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-19     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-20     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-21     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-22     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-23     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|DK-1-24     |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|Subtotals   |                 |        |        |      |
+------------+--------+--------+--------+--------+------+
|Please add $.50 per print shipping & handling          |
+------------+--------+--------+--------+---------------+
|TOTAL CHECK AMOUNT ENCLOSED:           |               |
+---------------------------------------+---------------+


Name:____________________________________________________

Address:_________________________________________________

Address:_________________________________________________

City State ZIP___________________________________________

Country__________________________________________________

Email address____________________________________________



Make checks payable to the International Al Jolson Society.
Mail completed orders to:

                          Ken Bucklin
                     IAJS Photo Department
                        Highland Village
                      375 W. Brannen Road
                             Lot 69
                      Lakeland, FL  33815
                             U.S.A.

These photos are available to members of the International
Al Jolson Society only.  If you are not currently a member,
use the online membership application on the website to join,
sending in your dues as indicated on the site.  When you have
received confirmation of your membership, return to the website
to select photos of your choice to purchase.