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Name:
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__________________________________ |
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Address:
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__________________________________ |
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City:
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__________________________________ |
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State:
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__________________________________ |
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Zip
Code:
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__________________________________ |
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Country:
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__________________________________ |
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Telephone:
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(____)_____________________________ |
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Fax:
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(____)_____________________________ |
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Email:
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__________________________________ |
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Painting
Name
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Quantity
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(Buyer,Please circle Item to be Purchased)
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Price
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| ______________________________ |
__________
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Original
Oil / Limited Edition / Acrylic
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$________________
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| ______________________________ |
__________
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Original
Oil / Limited Edition / Acrylic
|
$________________
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| ______________________________ |
__________
|
Original
Oil / Limited Edition / Acrylic
|
$________________
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| ______________________________ |
__________
|
Original
Oil / Limited Edition / Acrylic
|
$________________
|
| ______________________________ |
__________
|
Original
Oil / Limited Edition / Acrylic
|
$________________
|
| ______________________________ |
__________
|
Original
Oil / Limited Edition / Acrylic
|
$________________
|
| ______________________________ |
__________
|
Original
Oil / Limited Edition / Acrylic
|
$________________
|
| ______________________________ |
__________
|
Original
Oil / Limited Edition / Acrylic
|
$________________
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| ______________________________ |
__________
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Original
Oil / Limited Edition / Acrylic
|
$________________
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| Shipping,
handling & Insurance $24.95 (additional costs are not
added for multiple purchases!) |
__________
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Shipping
Total:
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$24.95
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6% Added For Florida Residents Only!!!!
Cost of Shipping,handling and Insurance For Acrylic Reproductions is $12.95.
(additional costs are not added for multiple purchases!) |
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Total
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$________________
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