ORDER FORM

A LAUREL ART GALLERY
2112 Crystal Drive
Fort Myers, Florida 33907 USA
Phone 941-278-0489 * Fax 941-482-6879
E-Mail LaurelArt@cyberstreet.com


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Company:
Your Name:
Address:
City:
State/Province:
Country:
Your Postal Code
(Zip for US):
Email address:
Phone number:
Fax number:
Please send the following:
Painting No.: by Artist: Size (in/cm specify):
Title:Price (US$):

Shipping and handling paid by A Laurel Art Gallery. Frames not included.
We will confirm your order prior to shipping. Contact us for special orders.

Payment Method:
Other Card Name:
Card Number:
Exp. Date (MM/YY):


Thank You.


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A Laurel Art Gallery
Phone: 941-278-0489
Fax: 941-482-6879
E-Mail: LaurelArt@cyberstreet.com

Copyright © A Laurel Art Gallery 1997. All rights reserved.