Creative Touch & Design Order Form

Please "Print" this form

And Fax order to:

( 775) 305-7134

Name (First, Last)

Address (NO P.O. Box)

City

State

Zip

Phone

Fax

E-Mail Address

Identify Your Selection by Art Title
Artist	Qty	Size	Frame	Art Title	Unit Price	Total

Shipping and Additional Information
Shipping not including Framed and Matted Prints ($6.50)	6.50
Express Shipping  ($15.00), Please Call for Framed Shipping
SUBTOTAL
PA residents Only)  Add sales tax: Subtotal x 6.0%
GRAND TOTAL

Method of Payment 
_____Visa ______ Mastercard ______American Exp________Discover________
Card Number _______________________________
Name on Card __________________________________
Expiration Date ___/___

Vin Code No. ________ (last three digits in the signature area on back of card)

Signature of Card Holder ________________________Date  /   /

Please Fax to (775) 305-7134