| SHIP TO: |
For Item # 10C you must include 4 photos that are very similar to the ones in the portrait. For #11C the photo of your dog must be in a standing position. |
| Name:.... | |
| Address: | |
| City: ...... | |
| State:..... | |
| Zip:......... | |
| Phone:.... | |
| E-Mail:.. |
| .
If you are purchasing an existing portrait place a check mark in the box next to the effect of your choice below. Facet #100
- $10.00
|
If you are purchasing a Custom portrait place a check mark in the box next to the effect of your choice on this side. Facet #100C
- $20.00
|
||
| ..
Payment by: Personal Check Money Order |
I am ordering an
existing portrait
I am ordering a custom portrait |
| Price of Portrait | ............................. |
| Shipping add $3.00 | ............................. |
| Total enclosed | ................................ |
Please allow 2-3 weeks for delivery.
All orders are shipped by Priority Mail. Be sure the Ship To Name is the
same name that appears on the check.