CUSTOM PORTRAITS -
colored pencil drawings and 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 - P.O. Box 25432 , Colorado Springs, Colorado 80936
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 ? ________________________________________________
______________________________________________________________________________
Prize
of portrait:
______________
Your deposit
______________
(A
50.- USD 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