|
Order form
Johanna
Pieterman's Artwork Inspired By Stevie Nicks
You can make your choice of the items available and
use this form to order.
Print it off and fill it in. Then place payment
(cash US$ only please) along with
this order form in envelope and send it
via registered mail to:
Johanna Pieterman
Meadowside
Dounby
, Orkney
KW17 2HS
United Kingdom
| Description: |
Title: |
Size: |
Paper colour: |
Quantity: |
Price: |
| (Example: print, bookmark) |
(or number or letter) |
(only for prints) |
|
|
(Example:
2 small
b/w prints=$22.00) |
| 1. |
|
|
|
|
|
| 2. |
|
|
|
|
|
3. |
|
|
|
|
|
| 4. |
|
|
|
|
|
| 5. |
|
|
|
|
|
| 6. |
|
|
|
|
|
| 7. |
|
|
|
|
|
| 8. |
|
|
|
|
|
Total Price of items: ( Postage and Packing
is included in the price) |
|
| Your address goes here... |
| Name: |
|
| Address: |
|
| Town/City: |
|
Postcode: |
|
| Country: |
|
|