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Autographed Pics

      

ORDERING INSTRUCTIONS:

1. CHOOSE PICTURE FROM THE MENU.

2. TYPE IN THE INSCRIPTION BOX WHAT YOU WOULD LIKE THE AUTOGRAPH TO SAY.

3. PRINT OUT THIS PAGE (page 1 only)  AND MAIL IT WITH YOUR PAYMENT.

Autograph Order Form
First Name: (required)
Last Name:  (required)
 
 
Email:
What would you like
the autograph to say?

 

Send check, money order, or cashier's check in the amount of $25.00.
Make payable to Gil Birmingham.

                                                       PRINT OUT THIS PAGE AND MAIL TO:
 
                                                                          Gil Birmingham
                                                 C / O Amsel, Eisenstadt, and Frazier, Inc.
                                                            5055 Wilshire Blvd., Suite 865
                                                                 Los Angeles, CA 90036

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