 | Orion Works Purchase Order Form
For Original Paintings
(Print this form. Mail or FAX your order)
|
|
MAILING ADDRESS:
Orion Works, 2701 Eugenia Avenue, Box 343, Madison WI 53705
| PHONE (voice): (608) 231-2040
FAX: (608) 231-2524
|
| TITLE | PRICE |
|
|
| TOTAL: |
|
| Canadian Orders add 25% Surcharge: |
|
| SUBTOTAL: |
|
| SHIPPING & HANDLING (see details): |
|
| GRAND TOTAL: |
|
|
Method of Payment:
[_] Check Enclosed, Make checks
payable in USA Dollars to: Orion
Works
or Steven Vincent Johnson |
[_] Credit Card:
[_] VISA [_] Master Card |
Credit Card No:
|
Expiration Date:
|
Signature:
|
| Shipping Address:
Name:
|
Address:
|
City:
| State:
| Zip:
|
Country:
| FAX:
|
Phone:
|
Email Address:
|
|
|
Shipping and Handling: Costs will vary depending upon the final size and weight of the package, where it is
going, how fast you want it there, and insurance. See Packing and Shipping Guidelines for additional details.
Payment Terms: A payment contract plan can be arranged with the artist. Upon completion of final payment,
including shipping and handling costs, painting will be delivered. |