| 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 ___________________________