Mail-in Order Form

Richard Jarrell Prints

Use your browser's Print button or File menu to print this form, then fill it out and mail with your check or money order to:

ART GALORE! ART GALLERY
5722 Gloucester Drive
Tyler, Texas 75707
903-939-2456

Ship to:
Name:_________________________________ Phone: (____)_____________
Address:_________________________________________________________________
City:_________________ State:_____ Zip:___________ E-Mail:_____________________

Chuck Long Prints Ordered:

Qty Title Description Price Shipping
____ ______________________ _________________________ $____________ $_________
____ ______________________ _________________________ $____________ $_________
____ ______________________ _________________________ $____________ $_________
____ ______________________ _________________________ $____________ $_________
____ ______________________ _________________________ $____________ $_________
Subtotals: $____________ $_________
Shipping: $____________
ORDER: $____________

Shipping charges continental USA only. Triple for foreign shipments.

Make check payable to Art Galore.