This Ordering Form should be printed out and sent to us together with the payment
Please provide the following information:
Name Home Phone E-mail Shipping - Street Address City State/ Zip postalCode Type of Artwork
Name
Home Phone
E-mail
Shipping - Street Address
City
State/ Zip postalCode
Type of Artwork
OriginalPainting Titel of Artwork Giclee print on Canvas 12x12 Titel of Artwork Large Giclee print on paper Titel of Artwork LE Giclee-print on paper 10x13 "unmated" "with Mat"16x20 provide details below Art-print 7 x 9 provide details below Item # Title of Artwork for prints 10 x 13 and 7 x 9 and Tiles Quantity Total amount for Artwork US $ according to prices on web-site PAYMENT - make payable to Georg K. Salhofer Personal Check Money Order send to: Georg K. Salhofer, P.O.Box 282, Key West, FL 3304
OriginalPainting
Titel of Artwork
Giclee print on Canvas 12x12
Large Giclee print on paper
LE Giclee-print on paper 10x13 "unmated"
"with Mat"16x20 provide details below
Art-print 7 x 9
provide details below
Item #
Title of Artwork for prints 10 x 13 and 7 x 9 and Tiles Quantity
Total amount for Artwork US $ according to prices on web-site
PAYMENT - make payable to Georg K. Salhofer
Personal Check
Money Order
send to: Georg K. Salhofer, P.O.Box 282, Key West, FL 3304
