Order Form
Poetic Portraits
2011

Name:_______________________________________

Address:_____________________________________       Apt#:___________

City:______________________ State/Province:________ Zip:___________

Country:_______________

Daytime Phone:__(_____)__________________     Evening Phone:__(_____)__________________

E-Mail Address:_______________________________       Promotional Code __________________

   
Mantle Quality Oil on Canvas

Quantity

Size

Price

Payments Of:

Amount Enclosed:

Quantity:____

8" x 10"

$369.00*

 3 Payments of $123.00*   $___________

Quantity:____

11" x 14"

$447.00*

 3 Payments of $149.00*   $___________

Quantity:____

16" x 20"

$657.00*

 3 Payments of $219.00*   $___________

Quantity:____

20" x 24"

$900.00*

 4 Payments of $225.00*   $___________

Quantity:____

24" x 30"

$1,200.00*

 5 Payments of $240.00*   $___________

Quantity:____

30" x 40"

$2,345.00*

 5 Payments of $469.00*   $___________

Quantity:____

40" x 60"

$4,000.00*

 5 Payments of $800.00*   $___________
*Price does not include shipping. Please include $35.00 for shipping, handling & insurance.
Please make check or money orders Payable To:
               Poetic Portraits

Mail To:  Poetic Portraits
               P.O. Box 272
               Colmesneil, TX  75938

(214) 402-9718
www.903smile.com
poeticportraits@903smile.com

Sub Total:________________

Shipping:                $35.00    

Total:____________________

Amount Enclosed:________________

All Payments in U.S. Funds Please.

 

Please describe with detail, the theme you would like painted.
You may also send drawings, give me the name of, or a picture of, a famous painting you would like followed,
or
send me the complete URL to any one of my oil paintings located within my on-line galleries that you would like followed.
  I work to ensure that each painting created is unique,  preserving their special originality.

Please be sure to reinforce your package with cardboard and insure your negative or print when mailing.
I cannot be responsible for shipping losses or damages.

Please allow approximately 4 to 6 months from the time you place your order for me to complete your Custom Oil.

Thank you,
Christine Angele