Fill out, print and mail this form with your check to:
Marsha Williamson Mohr
7021 North Country Road 75 East
West Lafayette, IN  47906

A 35mm or medium format slide will be sent upon receipt of payment for a one time use only with a request to return the image.   If possible, a courtesy sample of the published material is preferred with the returned slide.
Freelance Pricing
Photograph Index Number:
Magazine Use: Front Cover - Full Spread...................................... $300 
Back Cover - 3/4 Full Spread................................. $200 
  Inside Cover - Full Page & 1/2 Full Spread............. $150 
  None  
Calendar & Postcard Use: Calendar Use....................................................... $200 
  Postcard Use....................................................... $150 
  None  
Small Brochure Use: Front Cover - Full Spread...................................... $175 
Back Cover - 3/4 Spread....................................... $125 
  Inside Cover - Full Page & 1/2 Full Page................

$75 
  None  
Photo Use: Magazine Medium (5 x 4)...................................... $75 
Magazine Small................................................... $50 
Brochure Medium (5 x 4)....................................... $50 
  Brochure Small.................................................... $35 
  None  
Shipping & Handling............................................. $5 

Enter Total Amount Due:

Name:
First: MI: Last:
Address:
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Special Instructions:

For any questions or concerns about your order please send a message to: Bridges@Barns-and-Bridges.com

Thank you for your purchase