ORDERING FORM for ARTWORK                                  

This Ordering Form should be printed out and sent to us together with the payment

Please provide the following information:


Home Phone


  Shipping - Street Address


State/ Zip postalCode 

                                         Type of Artwork


  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