BETTY GRISHAM STUDIO~ EMAIL OR PRINT ORDER FORM HOME ABOUT THE ARTIST GALLERIES AVAILABLE WORK PRINTS CONTACT THE ARTIST
Betty Grisham, Studio 17 Torpedo Factory Art Center 105 N. Union Street Alexandria, VA 22314 studio phone: 703-836-5441 Email: betty@bettygrishamstudio.com Website: www.bettygrishamstudio.com
Your Name
Your Street AddressApartment #
CityState Zip Code
Daytime Phone
Title of work to be purchased: Description of artwork oil painting pastel giclee reproductions Other:
Price of workQuantity (if giclee reproductions)Total
Virginia residents, add 5% state & local tax
Add 10% shipping (if applicable)(Some large pieces may be higher; if in question, contact me.)
Total artwork, tax, & shipping (if applicable)
(IF PAYING BY CREDIT CARD, PLEASE CALL ME WITH YOUR CARD NUMBER or SEND IT WITH A PRINTED COPY OF THIS FORM BY REGULAR MAIL.
DO NOT SUBMIT YOUR CREDIT CARD NUMBER IN THIS FORM BY EMAIL.)
Check #Check Amount
Date:
Please allow two to three weeks for delivery upon receipt of payment & order.
Shipping address, if different from the buyer's. (If the same as the buyers, do not complete:
Street Address
City
State Zip Code If you prefer to mail a paper copy of this form with your check or credit card number, use the address at the top of the page. Do not send cash by mail and do not submit your credit card number in this email. Copyright © 2009 Betty Grisham. All rights reserved.
Copyright © 2009 Betty Grisham. All rights reserved.