Ordering is easy. Print this form - Fill it out - Send it off
Price._______________


Shipping (Circle One)


Send to
Bruce Holwerda
3972 Village Center Drive
Hoover, AL 35226-6330

16" x 20" = 10.00 up to 3 prints
18" x 24" = 12.00 up to 3 prints
25.00 flat rate for framed art
Name ____________________________
Address ____________________________

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Check or Credit Card # ________________________
Phone # ____________________________
Expiration Date ____________
Signature _________________________________
Title of Artwork, Size, Mat Color (Black or Off-White)

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Thank You
Bruce Holwerda
www.bruceholwerda.com
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