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   CUSTOM PORTRAITS 

   Exclusive oil paintings by Bambi Mounet -Lipp

                                                                    Order Form

 If you prefer to mail your order for your portrait rather than ordering online, please print this form

 and send a short note, list the quantity of portraits you wish to order, send it with your photos 

 and your deposit  to:  

  Bambi Mounet-Lipp -  3820 Rolling Meadows Drive, Rio Rancho,NM 87144

 

Your Name:________________________________________________________________

Shipping Address:___________________________________________________________

City, State, ZIP:_____________________________________________________________

Day Phone:____________   Evening Phone:___________   E-mail:______________________________

Please indicate your choice of of portrait -    Head      or     Full body

Size -    8 x 10 inches   -  11 x 14 inches  -  16 x 20 inches  -  20 x 24 inches   -  24 x 30 inches

                           Description    Item #  Quantity   Total
       
       
       
       
     Subtotal  
     Shipping/ Handling  
       
 
   Final amount  

ANY SPECIAL REQUIREMENTS ? ________________________________________________

______________________________________________________________________________

 

Price of portrait:                                           ______________                                                
Your deposit                                                 ______________


(A
50%  down payment is required with your order. The balance is due on completion of the portrait)

Your signature    __________________________________________________


Orders from within the U.S. may be paid via PAYPAL,  check or money order. Orders from outside 

the U.S. must be paid in U.S. dollars by international money order only.  

Please make your check out to ML Mural Art 

                                                          Thank you for your order!