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            FORM



BY MAIL…
Please print out this
form, fill in all requested information and mail to the address listed below.  Please include your daytime phone number so we can reach you quickly if there is a question about your order.  We accept your personal check or money order. Please do not send cash.

SHIPPING AND DELIVERY…
We make every effort to ship your order quickly.  Please allow 7 to 10 
working days. 


WHOLESALE…
If you are in the retail business,  please do not hesitate to ask  for more information. Please have your tax or 
Resale number ready.
   
NON-DISCLOSURE…Your name and address are considered proprietary, and will not be made available to 
anyone else.
  
PRICING...All prices listed are good until January 1, 2016


Name: __________________________________ E-mail: _______________________

Telephone (Work): __________________  (Home): ____________________________

Address: ______________________________________________________________
 
City: ________________________________ State:______________ Zip:_________                                                                                                     
       Item Number

Painting Number         

 Quantity       Amount
       
       
       
       
       
       
       

Shipping & Handling ……...add $3.50        
 Tax - Live in California - Add 7.75% 
1.  PLEASE EMAIL US FIRSTLY AT shlamarche@cox.net
     TO ADVISE US OF THIS ORDER. 
    
2. Print out this form. Fill out the information and mail with your check. It will receive our prompt attention. We will phone or email confirmation to you upon receipt. Thank you.

  

             

Tax:

Shipping:

Total Due:

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