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Giclee Information Form

You can fill out this form on this web page and print it to mail with your check or
copy it into the body of this email and pay with the GoogleCheckout buttons
on the expanded image page of your chosen painting.

P.S., I am a very slow programmer and have only a few of these expanded image pages available from the thumbnail gallery. Please click on "Paintings and Portraits" on the home page to see the large images of paintings and email me by copying and pasting this order form into the body and I'll send you a GoogleCO payment button, Thanks!


Name


Email Address


Painting Name for giclee print


Size of giclee you are ordering.


Home Address


City, State, Zip


Mailing Address for giclee


City, State, Zip


Home Phone


Daytime Phone


Name on Provenance for transfer of Giclee (if mailing address and recipient differs from yours above)

US Funds Total

.

e-mail: Michelle Christides
Thank You For Your Order!

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