Order Form for Prints by Amy Kinney
PO BOX 1739
Orleans, MA 02653
Website:  www.amys-art.com
Email: amy@amys-art.com
















                                             * If print is being sent to a different person/address,
                                                       please note this on the back of the order form.

Prints $22 each


DESCRIPTION        
QTY        
TOTAL PRICE

    
    
    


    
    
    


    
    
    


    
    
    


    
    
    


SUB-TOTAL        
            


Matted and Framed (additional $26 each)        
    


U.S. shipping, packing, handling (see chart)        
    


TOTAL        
    



Notes:



Signature:  _____________________________________         Date:  _____________


Name *
 
Mailing Address *
 
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