Fine Art Prints by

american impressionist art

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Printable Order Form
Mail to: P.O. Box 5049, Arcata, CA 95518
Quantity                                     
Title                                    
Size                                     
Price Each                                    
Sub Total                                    
                                    
Quantity                                     
Title                                    
Size                                     
Price Each                                    
Sub Total                                    
Billing Information:  Must be entered exactly as it appears on your credit card statement.
First Name
Last Name
Address
City
State
Zip Code
Phone Number,
with Area Code
E-Mail Address
Shipping Information:  If different from billing address. If this is a gift, please fill in the recipient’s address here. We cannot ship Fed Ex to PO Boxes or APO/FPO addresses.
Shipping within the continental U.S. only. For shipments to Alaska and Hawaii, please email for a price quote.
First Name      
Last Name      
Street Address      
Physical address only, no P.O. Boxes
City
Shipping to U.S. Only.
State
Zip Code
Phone Number,
with Area Code
            Is this a gift?    No     Yes   You may enclose a brief message


            Methods of Payment:
               Check or Money Order (U.S. funds only) $
    
        Please make checks payable to: Fine Art by Lisa Marie Waters
                   Your order will be sent after the check has cleard the bank.

               VISA       MasterCard       Discover 

Card Number
Name as it appears on card
Expiration Date /   example: 09/02
Signature 
Order Totals
Subtotal of prints ordered $
CA residents add 9% sales tax. $
Shipping rates within the continental U.S. only: Please add $15. for each fine art print under $100,
and $35. for each print over $100. Shipping rate for notecards is $5. for each 10 pack.

Shipping $


TOTAL ENCLOSED

$

Fine Art by Lisa Marie Waters
P.O. Box 5049, Arcata, CA 95518
Website: www.WatersArt.com
Email: Lisa@WatersArt.com
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