Karen Lynn Gorney Store Order Form

Dear Friend:
We are delighted with your interest in Karen Lynn Gorney. To order one of Karen's photos, CD or her art work, Please print out the form below and mail it with your money order to the following address.

!!!..Make sure to list number and title of shots specify photograph title and who you would like the autograph made out to with your order..!!!

Karen Lynn Gorney
c/o Karen Company
P.O. Box 23-1060
New York City, NY 10023

Name _________________________________________________

Address ______________________________________________

City_______________________ State/Zip__________________

Area code(____) Home Phone ___________________________

Area code(____) Work Phone ___________________________

Email Address (optional) _____________________________

Description of Item __________________________________


Item to be personalized to ___________________________

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