Painting Order Form



      Personal Information:

                  _____________________________        _____________________________        __________
                                      Last Name                                                   First Name                                     M.I.

                  Mailing Address     ____________________________________________________________
                                              _____________________________________________________
                  City   _______________       State-Zip   _____________________       Country   _______________
                  Home Phone No.   ____________________________       Other Phone No.   ____________________________
                  E-mail Address   ____________________________

      Painting Information:

                  Painting Code   _________________       Painting Title   __________________________________________

                  PAINTING SIZE (This is actual painting size) :
5"x7" 6"x8" 8"x10" 9"x12" 11"x14" 12"x16" 14"x18"
16"x20" 18"x24" 20"x24" 22"x28" 24"x30" 24"x36"
                    Other size   ______________________

MEDIA TYPE FRAME TYPE (Optional):
Not Specified (We will choose the appropriate one) Classic Metal Frame
Poly-Silk Cloth(Most Popular) Artistic Carved Frame
Canvas (Professional Artist Quality) Deluxe Wood Frame
Pro-Photo Paper(Heighest Quality Kodak Metallic) Backlit Frame (Includes lights in the back)
Backlit (Lighting from the back)


                  Remarks     ________________________________________________________________________
                                    _______________________________________________________________