Doug Prince Catalog Order Form

Print out and mail to Barry Andersen, FAC 312 Art Department,
Northern Kentucky University, Highland Heights, KY 41099 or Fax
to 606.572.6501. Make check out to Northern Kentucky University.

quantity		unit price	total price
	Paperback	$25
	Hardbound	$35
	Signed Limited Edition with print	$200
	Shipping/Handling ($5 for each 1- 2 books to same address)	$5/for 1-2 books
	Kentucky Residents add 6% tax
		Total

Institution Purchase Order Information

Institutional discount is 40% off the full price: softbound $15, hardbound $21

Name
Department
Institution
Address
City		State		Zip
Purchase Order Number

Personal Purchase Information

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Address
City
Zip

If shipping to different address fill out below

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Personal Payment Type (If writing a check, make out to Northern Kentucky University)

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