Order Form for Prints

Print order form, fill out information as indicated, and mail with check or money order to:

Larry Waggoner
45 Cedar Hill Pl. NE
Albuquerque, NM 87122

Order Gicleé Prints
Title 1:	____________________________________________________
Quantity:	____________________________________________________
	Unmounted		Matted / Framed		Artist Proof
Price:	____________________________________________________
Title 2:	____________________________________________________
Quantity:	____________________________________________________
	Unmounted		Matted / Framed		Artist Proof
Price:	____________________________________________________
Title 3:	____________________________________________________
Quantity:	____________________________________________________
	Unmounted		Matted / Framed		Artist Proof
Price:	____________________________________________________
Tax:	________________________________(in NM, add 5.8125% sales tax)
Shipping & Handling:	______________________________________(look up shipping fees)
Total:	____________________________________________________
Shipping Address &Contact Information
Name:	____________________________________________________
Company:	____________________________________________________
Street:	____________________________________________________
City:	____________________________________________________
Zip:	____________________________________________________
State / Province:	____________________________________________________
Zip / Postal Code	____________________________________________________
Country:	____________________________________________________
Phone Number:	____________________________________________________
Email:	____________________________________________________