Print out the form below and mail to:
Carol Skapinetz---293 County Rd. 579---Bloomsbury, NJ 08804
Order Date: _______________
First Name:__________________ Last Name:________________
Billing Address - Street:__________________________________
City:____________________ State:__________ Zip:___________
Shipping Address - Street:________________________________
City:____________________ State:__________ Zip:___________
Phone:_________________Email:_____________________
Edition Title: __________________________________________
Please indicate Gicle'e size:_____________
Matted: _____ Un-Matted:______
Price (Does not include Tax and Shipping & Handling_________
Check #____________( Make check payable to Carol Skapinetz )
Credit Card Type -- MasterCard____ Visa____
Credit Card #_________________________ Exp. Date__________
Signature on Card________________________________________
Please note when paying by check, order will be shipped when check clears.
Thank You for your order!