Portraits by Raymond StaubleORDER FORMPlease print out this page and send to address at bottom of screen |
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NAME: | ||
| PHONE: | ||
| E-Mail: | ||
| STREET, CITY, STATE, ZIP: | ||
| SUBJECT - People or animals, number, names, breed (if applicable): | ||
| REMARKS (Background, etc.): | ||
| SPECIFY SIZE AND MEDIUM (Oil or Pastel): | ||
| SPECIFY - Head Only, Head & Shoulders, or Full Body: | ||
| TOTAL PRICE: |
20% DEPOSIT: |
BALANCE: |
| RAYMOND STAUBLE - 274 TROY ROAD - DETROIT, ME 04929 QUESTIONS? CALL (207)257-3888 or E-Mail: ray@artbyray.com Please make checks payable to Raymond Stauble |
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