Art by Janis Printable Order Form
| Name | |
| Street Address | |
| City, State, Zip | |
| Phone # | |
| E-Mail Address | |
| Credit Card Type |
Circle one: Visa Amex Mastercard Discover |
| Credit Card # | |
| Exp. Date | |
| Signature |
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Quantity |
Medium |
Include eye and hair color, age, height and weight if appropriate |
Price per Subject |
Total |
| Ship To: |
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50% ( non-refundable) |
Include Special Instructions or Comments Here: |
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Tax (Florida residents) |
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Freight (minimum $10.) |
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Bal Due on delivery |