Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Name of Painting * Print Size * 8x10 : $40 11x14 : $65 16x20 : $115 24x36 : $270 30x40 : $340 8x8 : $40 10x10 : $50 12x12 : $65 16x16 : $80 20x20 : $120 Additional Notes Print Mounting If you would like the print mounted on a wood panel please make a note here. Mark “YES” on this space. Wood panel mounts will have an additional charge, (included in the invoice), I will send you the amount based on the size of print. Thank you! I will follow up with details about your order shortly.