Order form
  Creative Abstractions and Beautiful Landscapes

 Telephone

 808-381-6875

 Mail

 61-A Leilehua Road, Wahiawa, Hawaii 96786
   
  Please print this form and use it for reference when calling in your order or mail it to me.

Bill to: {name and address}

Name:_______________________________________________________

Address:_____________________________________________________

____________________________________________________________

City:__________________________State_____________Zip__________

Telephone:___________________________________________________

Email:_______________________________________________________

 List of Items:

Ship to:{if different than Bill To}

Name:_________________________________________________

Address:_______________________________________________

______________________________________________________

City:_______________________ State_________Zip__________

Telephone:_____________________________________________

Email:_________________________________________________
Item #

 Item Name: Description.

 Quantity:

 Unit Price:

 Total:
          
         
         
         
         
         
         

  Merchandise Total: ________
 
 If ordering internationally, please call or email before ordering.

  Merchandise Total: Shipping Charges

      

  up to $19.99 add $2.95

  

 Merchandise Total:

  ________

  $20.00-$39.99 add $4.99

  

   Shipping:

  ________

   $40.00-$59.99 add $5.99

  

 

  $60.00-$79.99 add $7.99

  

 Total:

  ________

   $80.00-$99.99 add $9.99

  

  

  
 Method of Payment: 
 ___ Check or money order (payable to "Dennis McGeary Fine Art"} 

  Currency Converter
 

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