ORDER FORM

Please print the order form, include your payment for the total and mail it to:

Cinder LeDell
15 Appletree Lane
Basking Ridge, NJ 07920 USA

TEl: (908) 766-3983
FAX: (908) 766-1631
E-mail: cinder.ledell@verizon.net


Purchased by:

Name:       _________________________________
Address:    _________________________________
City: _____________ State: _____ Zip Code: __________
TEL:   ________________ FAX:   ________________
E-mail: _________________________

Shipped to:

Name:       _________________________________
Address:    _________________________________
City:_____________State: _____ Zip Code: __________
TEL:   ________________ FAX:   ________________
E-mail: _________________________


Prints/Greeting Cards:

Title of Painting: ______________________ Print # (OP or WC): ______________ Print Size:__________
Price for print alone (including mat): ______________
Print with frame #1 $: ______________ Print with frame #2 $:______________
Print with frame #3 $:______________ Print with frame #4 $:______________
Greeting Card (Quantitiy): ______________ Prise $: ______________

Prints/Greeting Cards:

Title of Painting: ________________________ Print # (OP or WC): ______________ Print Size:__________
Price for print alone (including mat): ______________
Print with frame #1 $: ______________ Print with frame #2 $:______________
Print with frame #3 $:______________ Print with frame #4 $:______________
Greeting Card (Quantitiy): ______________ Prise $: ______________

Prints/Greeting Cards:

Title of Painting: ________________________ Print # (OP or WC): ______________ Print Size:__________
Price for print alone (including mat): ______________
Print with frame #1 $: ______________ Print with frame #2 $:______________
Print with frame #3 $:______________ Print with frame #4 $:______________
Greeting Card (Quantitiy): ______________ Prise $: ______________

Shipping/Handling FREE

Total Purchase: $__________

Date:______________ Sign ________________