|
ORDER FORM |
| GICLÉE REPRODUCTIONS BY DOUG ANDREWS |
name: _______________________________________________________ address: _____________________________________________________ Email _____________________________ city/town: ___________________ prov ________ postal code___________ phone: ( ) _______ - ____________ |
| Image | Quantity Ordered X Price = | Cost |
| Indian Summer |
X $475.00 = |
|
| My Harem |
X $475.00 = |
|
| The Back Lane |
X $475.00 = |
|
| Quiet Anticipation | X $475.00 = | |
| Ouse River Morning | X $475.00 = | |
| Old Apple Tree | X $550.00 = | |
| Haliburton Morning | X $475.00 = | |
| Eldorado | X $425.00 = | |
| Centre Stage | X $425.00 = | |
| Indian River Island | X $475.00 = | |
| The Source | X $425.00 = | |
| Tranquility | X $425.00 = | |
| Three Sisters | X $525.00 = | |
| Any Day Now | X $500.00 = | |
| Girven's Meadow | X $550.00 = | |
| Winter Sun - Montebello | X $475.00 = | |
| Aunt Daisy | X $475.00 = | |
| Country Kitchen | X $425.00 = | |
| April | X $550.00 = | |
|
Subtotal |
||
|
Postage & Packing 1 X $30.00(first
item) |
$30.00 |
|
|
TOTAL* |
||
| Print this form and mail it to: Doug Andrews RR#1 Warsaw ON K0L 3A0 |
* Please enclose a cheque or money order
payable to Doug Andrews. Please do not send cash in the mail. |
Thank you for your order. |