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(*) = Required Information NOTE: Your email address will be given on submission of order form.

*First Name:

Middle Initial:

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*Phone Number:
Ex: (555) 555-5555

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Product

_Information

*Type of Commissioned Work:

Portrait
Single Person
Two People
Three People
More
Pets
Combination
Head/Holder
Full Body
Still Life
Landscape

*Medium:

Oil / Canvas
Pencil / Paper
Pastel / Paper
Watercolor / Paper

*Size:

11” x 17”
18” x 24”
or Larger (Indicate Size)

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*Payment:

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(Sorry no Personal Check)
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