Fine Art Prints by

 american impressionist art

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Printable Order Form
Print out this form to use for mail or fax orders
Quantity                                     
Title                                    
Size                                     
Price Each                                    
Total                                    
                                     
Quantity                                     
Title                                    
Size                                     
Price Each                                    
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 Account
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

            Method of Payment
               Check or Money Order (U.S. funds only) $
             Please make checks payable to: Fine Art by Lisa Marie Waters

               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 7.25% sales tax. $
Shipping rates within the continental U.S. only: Please add $10. 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 95518-5049
Voice Mail and Fax Orders: (707) 822-1600

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