| Order Form To order- print this document out on your printer and fax a copy of this form to: contact me first To insure that the painting is not Sold by the time I receive Payment, E-Mail or fax me your order and I will hold the painting for up to 10 days if paying by check. Michael G. Apostol 3260 Fountain Falls Way #2062 North Las Vegas, NV. 89032 USA Telephone: 1-( 702 ) 647-2099 Fax: Call me before faxing Contact Me E-mail Shipping : Name _____________________________________________________ Address _____________________________________________________ City __________________________________State _____________ Zip Code _______________Country_________________ Telephone _______________________________ (to track orders) E-mail _______________________________ Painting Description:____________________________ Price:__________ Description:___________________________________ Price:__________ Description:___________________________________ Price:__________ Shipping and Handling cost ( Paintings Shipped insured US $35.00 - International: Based on Size of Painting TOTAL ____________ Check [ ] Money Order [ ] If paying by check. Please make payable to: Michael G. Apostol Funds US Other Forms of Payment: PayPal [ ] Epassporte [ ] Neteller [ ]
Thank you for your order.
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