Send Order to:

Painted Mermaid Gallery                         or FAX to  (207) 743-7312
6 Briggs Ave.
So. Paris, ME  04281

Date:

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State Tax Resale or State ID#______________________________________________________________________________________

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Credit Card Information

The Painted Mermaid accepts: American Express - Visa - Mastercard by phone. Please call (207) 743-7312 for credit card orders

We accept Credit Cards, Checks and Money Orders.
(Checks must be cleared before order is shipped)

ALL ORDERS MUST BE INSURED

Sub Total
(Shipping,
Handling,
Insurance)
5% Tax ME only
Total

If Faxing Order Complete the Following for Credit Card Orders:

Card Name____________________________  Card # _______________________________________ Exp. Date______________________

Signature of Card Holder_________________________________________________________________________________