The Painted Mermaid Order Form

Item
Quantity
Price Each
Total Amount
       
       
       
       
       
       
       
       
       
       

The Giclee fine art reproductions will be mailed flat on acid free foamcore and sleeved in plastic.
Contact Brenda for International Shipping costs.

Maine state residents add 5% sales tax $ _______
TOTAL: $_________________

Please Indicate Method of Payment:
(Please make checks payable to Painted Mermaid Gallery)
_______ Check

_______ Money Order

Your orders may be sent to:

Painted Mermaid Gallery
PO Box 304
South Paris, Maine 04281

Phone: 207-743-7312
Email: [email protected]

Your Name:_____________________________
Street:__________________________________
City:___________________________________
State & Zip Code :________________________
Phone #: (______) ____________________
Email Address: __________________________

 SHIPPING ADDRESS, IF DIFFERENT:
Name:__________________________________
Street:__________________________________
City:___________________________________
State & Zip Code :________________________

PRICES ARE IN U.S. FUNDS

Thank you for your patronage!