Order form

Winters: R.D. #1 Box 264, Brockport, PA 15823 Phone (814) 265-0670

Summers: Painting somewhere in Alaska, Phone (814) 265-8976

POSTCARDS - NOTE CARDS - SKETCHES - PRINTS- ORIGINALS

Date________________________________

Ship to: (please print)

Name: ________________________________________________________________________________________

Company: _____________________________________________________________________________________

Street: ________________________________________________________________________________________

City: ________________________________ State____________________ Zip Code________________________

(Please note: Please give us a street address if possible)

Daytime Phone ( ) ________________________________________________________________________

Email Address: _________________________________________________________________________________

Item Number	Quantity	Description	Unit Price	Total Amount












				Subtotal______________
Please send check or money order
		Add 6% PA Sales Tax	_______________________
		If order is over $100.00 add $3 for Insurance_____________________
				TOTAL______________

Use area for additional comments, suggestions or special orders.

______________________________________________________________________________________________


Harbors of Alaska, Ketchikan Page 1, Ketchikan Page 2, Sitka, Haines, Kodiak, Villages of the Aleutian Coastline Email dorothyhook-artist@earthlink.net	Churches of Alaska, Juneau, Totems, Mountains of Alaska, Sketches of Villages, Sketches of the Aleutian Islands, About the Artist, Main page, Price list