Site hosted by Angelfire.com: Build your free website today!


Whitaker's Order Form Page

Complete the order form below, print it out, mail with check or money order to the address listed. Add $7.00 shipping & handling.

Item #

Description

Qty.

Price

Subtotal

Order total:

Tax:

Shipping:

Total:

Name:

Address:

City:

State/Prov:

Country:

Zip/Post. code:

Phone:

E-mail:

Method of Payment

Check

Money Order

To contact us:

Phone: (606) 886-6414 extention 317
Fax:
Email: whitakerarts@hotmail.com

Home Page | Black & White Prints | Color Prints 1 | Color Prints 2 | Original Prints | Form |