ORDER FORM

Print out this page and mail to Pam Pahl Art (address above). Please print clearly.

Date: SHIP TO: (if different than Billing Address)

Name: Name:

Address: Address:

City: City:

State: Zip: State: Zip:

Daytime phone: Daytime phone:

Method of Payment:

Check or money order enclosed Visa MasterCard

Account Number: Exp. Date:

Print Name on credit card:

Signature:

Original or Print	Title	Quantity	Unit Price	Total




Shipping of large prints, quantities or originals may be additional. *Questions?* Contact Pam Pahl Art snail mail or e-mail. (See our contacts page)		Sub-Total
		FL Sales Tax 6% (FL only)
		Shipping, Handling, Insurance		No Charge within the Continental USA
		Total
Thank You for your order! – Pam Pahl

Your Purchase: You will receive an exclusive work of art by Pam Pahl. The artist signs reproductions. A biography of the artist and a Certificate of Authenticity is included with each print.

Shipping and Handling Charges: Large prints, card quantities or originals will require additional charges and Pam will contact you with specific charges.

International Shipping: Delivery charges will vary when shipping to another country. For international deliveries, please call us. Recipients may be responsible for duties and taxes.

Sales Tax: Sales tax (6%) applies if you are a resident of the State of Florida or shipment is made to an address in Florida.

All prices are subject to change without notice.

ORDER FORM

Name: Name:

Original or Print

Sub-Total

FL Sales Tax 6% (FL only)

Shipping, Handling, Insurance

Total