JAN HEATH

ORIGINAL PRINTS

250 Quail Run Lane • BERKELEY SPRINGS, WV 25411

To place phone orders please call: 304.258.2482 OR 304.258.9840
ORDER FORM

Print out the form below, fill out, then mail to the address above. For wholesale information, please call.

PAYMENT:  
   BY CHECK -- Payable to Jan Heath.
   BY VISA, MASTERCARD, AMERICANEXPRESS,DISCOVER
   Please include full name, card no., exp. date, and sign.

Landscapes Barnyard Monoprints Dogs and other animals Birds Figures
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Date:

Address:

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Phone:

Credit Card:

__ Visa; __ Mastercard; __ American Express; __ Discover

Account No:

Exp. Date:


Signature:

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Code #

DESCRIPTION
QTY
PRICE
MATTED / size
TOTAL
     

     

     

     

     

     

     

     

     

     

     

AMOUNT OF ORDER

 

packages 9x12- 10x12 shipping 1-2 prints $7.

packages larger than 10x12 up to 16x20 size are $9 shipping for 1-2 prints

packages over 16x20 up to14x26 are $12. shipping

larger than 14x26 are $20-30.

call for more info 304-258-2482

 

 

SHIPPING & HANDLING

7.00-20.00

jjheath304@gmail.com

 

 

SUBTOTAL

 

WV Residents add 6% Sales Tax

 

TOTAL ORDER