Deliver To: (If Different From Ordered By)
Name: ________________________________________________________________
Address: ______________________________________________________________
City: __________________________________________________________________
State, Zip, Country: ______________________________________________________
Phone: ________________________________________________________________
E-mail Address: _________________________________________________________
Order:
Quantity Item No. Description Price Each Total
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Merchandise Total _______________________________________________________
Sales tax for deliveries to NJ ______________________________________________
Subtotal _______________________________________________________________
Shipping ______________________________________________________________
Total ________________________________________________________________
Shipping: $9.50 per print.
This rate is for packages delivered to addresses in the Continental USA. Call us for
other shipping rates.
Method of Payment: $US funds made payable to - Creative Mind Fine Art
___ $ Personal Check* ___ $ Cashiers / Bank Check ___ $ Money Order
* Personal checks must include your preprinted name and address, as well as your
phone number. Personal checks may be held up to 14 days for clearance. Note: Personal
checks returned for insufficient funds may be posted electronically against your account.