Pauline Walsh Jacobson Fine Art - Giclee Print Order Form |
You
can either print out and mail/ fax this form, or call 512-481-1032
to place an order. Prints
are all made to order, so please allow 5 working days for creation of the
print, and an additional 1-2 days for shipping. |
Name:_________________________________________________ Phone: _____________________ Company:______________________________________________ Fax:________________________ Address:_______________________________________________ Email: ______________________ City:__________________________________________ State: _________________ Zip: __________ |
Giclee Fine Art Prints - Museum-quality prints made with permanent pigment inks on 100% rag paper:
|
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| Art Medium and Title | Qty. | Size | Item Price | Price | |||||
| Subtotal Prints | $_________ |
| Shipping (with insurance & delivery confirmation): Priority Mail - $7.00, Overnight - $18.00 | $_________ |
| SUBTOTAL | $_________ |
| Sales Tax: TX residents only - add 8.25% of order including shipping | $_________ |
| TOTAL | $_________ |
|
____Check / Money Order Enclosed (Make check payable to Jacobson Associates, Inc.) ____Charge my Credit Card (Visa, MasterCard, American Express or Discover/Novus) Card # ____________________________________ Expiration Date: _____________ Mail To: (Credit card orders can be faxed to
512-481-1032): Thank you for your order! |