* HARLEY'S PRINTER READY MAIL ORDER FORM *

Please Make Your Artwork Selection:

1 Person Charcoal Portrait = $40       3 Person Charcoal Portrait = $100
2 Person Charcoal Portrait = $70       4 Person Charcoal Portrait = $130

1 Person Watercolor Portrait = $150       3 Person Watercolor Portrait = $400
2 Person Watercolor Portrait = $275       4 Person Watercolor Portrait = $525

1 Print = $75       2 Prints = $150       3 Prints = $225
1 Original Painting = As Listed
 
A) List Selected Prints or Originals by Name (eg. Lighthouse/Point Amour, NL)
B) List Your Instructions or Comments (eg. number of portraits/prints required)


Please Enter CONTACT & SHIPPING INFORMATION:

Name
Street
City
Prov/State
Postal/Zip Country
E-mail Tel (option)
Payment by Cash   International M.O.  Check
Signature  Enter (ü) to Confirm Order

COMPLETE & PRINT THIS PAGE!      ATTACH or EMAIL YOUR PHOTOS!

TO ORDER BY REGULAR MAIL: "Print & Mail This Order Form with your Photo"
SEND PAYMENT  by CASH, CHECK or "INTERNATIONAL" MONEY ORDER PAYABLE TO:

Portraits by Harley Inc.                                         Web Site: www.personainternet.com/harleys
Box 110, RR2                                                           Email Address: harleys@personainternet.com
Port Au Port, NL                                                                              Telephone: (709) 648-2884
A0N 1T0 Canada                                                                   Copyright © Portraits by Harley Inc.