Giclee Print order form

GICLEE PRINT ORDER FORM

Use your browser’s print icon. The form should print without the black background. Email me if you experience difficulty. I can mail you a brochure

Mail to: Gainor Roberts, 34370 Sturgeon Loop, Zephyrhills, FL 33541 813 779-3570

Name__________________________________________________________________________

Address________________________________________________________Phone___________

City__________________________________________State___________Zip_______________

Anger

48 x 48 canvas $600 ________

24 x 24 canvas $225 ________

24 x 24 paper $200 ________

Loneliness

48 x 48 canvas $600 ________

24 x 24 canvas $225 ________

24 x 24 paper $200 ________

Love

36 x 48 canvas $500 ________

18 x 24 canvas $200 ________

18 x 24 paper $175 ________

Joy

30 x 48 canvas $400 ________

15 x 24 canvas $175 ________

15 x 24 paper $150 ________

Jealousy

40 x 48 canvas $500 ________

20 x 24 canvas $200 ________

20 x 24 paper $175 ________

Grief

42 x 48 canvas $530 ________

21 x 24 canvas $210 ________

21 x 24 paper $185 ________

Fear

40 x 54 canvas $560 ________

20 x 27 canvas $220 ________

20 x 27 paper $195 ________

subtotal ________

Florida residents add 6% sales tax ________

TOTAL ________

MasterCard or Visa #___________________

Make checks payable to Gainor, or Gainor Roberts Prices include shipping and handling. Thank you for your order!

MIDI Sequence by R. Finley fromThe Classical Archives www.classicalarchives.com

Franz Liszt Liebestraume No. 3 (permission pending)