Order Form

 

(See ordering information at bottom of page)

 

Name_______________________________________  Phone Number (          )              -

 

Address_______________________________  City_______________ State_______ Zip Code_______

 

Ship to Address ___________________________City______________ State______ Zip Code_______

 

If Paying With Credit Card

 

Card Type___________   Name on Card ________________________  Card Number_____________

 

Expiration Date ________________            Signature__________________________________

 

Item

Description

(Print, Art Card, Screensaver)

Image #

Size

Matted or Framed?

Price

1

 

 

     

2

 

 

     

3

 

       

4

 

       

5

 

       

 

 

   

Shipping

 
       

Sub Total

 
       

(WA State Tax)

 
       

Total

 

 

To Order:

 

1) Fill in the personal information and ship to Address.

 

2)  Fill in the description and image identifying number; this will be the number on the gallery page just below the image.

 

3) Fill in the size desired and price.  Remember to specify “matted” or “framed”.

 

4) Add shipping charge.

 

5) If state of Washington resident add sales tax (multiply subtotal by  .077)

 

6) Total order and mail to:  Randy Hopfer

                                              6709 NE 232nd Ave

                                              Vancouver, WA 98682        

 

7) Include payment of check, money order, Visa, Mastercard, or American Express