WALT .WALKER .COLLECTION
 

ORDER FORM

Ordering Instructions:
Print this page, fill in the blank areas and send to the address listed below along with
check or money order. If you have any questions or need more information
call (323) 758-2426,
or fax information to (323) 933-6378

Name:__________________________________________________________

Company:_______________________________________________________

Address:________________________________________________________

City/State/Zip Code:_______________________________________________

Daytime Phone: __________________________________________________

Fax Number:______________________________________________________

Email Address: ____________________________________________

Order Items - All orders include $5.00 Shipping & Handling

DISCOUNT  PRICES:
                                       
Color - 8 x 10 prints - $15.00   12 x 16 - $20.00.. 18 x 24 - $30.00        
.
...
Print Name. ....... . .. .Print Size ......... Quanity .......... Amount ...... . Total

Sisters ........... ....8 X 10 __ 12 X 16 ___.. ._____.........._________....__________
Mother Love.. .. . 8 X 10___ 12 X 16 ___ .._____....... .._________....__________
Buddies.......... .. .8 X 10___ 12 X 16 ___..._____.........._________....__________
Chicken George 8 X 10 ___ 12 X 16 ___...._____.........._________....__________
2 Generations.....8 X 10___ 12 X 16 ___. . _____..........._________....__________
Bustop ................8 X 10 __ 12 X 16 ___ . ._____..........._________....__________

Total Amount ______________________
Please Add $5.00 for Shipping and Handling

Send check or money order, along with this form to
Jane Walker
8931 Haas Ave.
Los Angeles, CA 90047
Phone: 323 758-2426 - Fax: 323 933-6378
Email: gparker@papillonmedia.com....

How to Order Prints .... Home ....
 
©2004 Walt Walker Black Art Prints All rights reserved.