
ORDER FORM FOR NUMBERED AND SIGNED PRINTS
YOU MAY PRINT THIS FORM AND FAX TO 415-989-0011(fax) OR CALL
IN YOUR ORDER AT 415-989-1630 (voice)
| TITLE | QUANTITY | UNIT PRICE | AMOUNT | |
If
shipped to a California address Add 7.75% CA sales tax |
||||
|
*Please
add $14.50 for insured shipping
& handling
|
$14.50
|
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|
TOTAL DUE |
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| First
Name |
Last Name
|
| Home Phone
|
Work Phone
|
| E-mail
Address |
|
| Billing
Address (include Apt. No.) |
|
| City
|
State
/ ZIP |
| Shipping
Address (if different than billing) |
|
| City
|
State
/ ZIP |
Credit
Card (check type) |
Visa _____ Mastercard _____ |
| Credit
Card Number
|
|
| Exp.
Date |
|
| Authorized
Signature |
|
| Charge
by credit card or send check payable to: The Art of Robert Sexton 491 Greenwich Street San Francisco, California 94133 YOU MAY PRINT THIS FORM AND FAX TO 415-989-0011 (fax) OR CALL IN YOUR ORDER AT 415-989-1630(voice) Please allow 2-3 weeks for delivery. |
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