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Order Form for THE GIFT TRIPTYCH
To order by mail, please fill in each field of this form and send it to the Studio with your check or money order payment.
To order by phone, please call us at 310-649-1210
To order this artwork on-line, please use the PayPal "Buy Now" botton on the artwork's main page.



 

 

 

Cost Of Artwork
In California, please add Sales Tax

 

 

Deposit (Enclosed Payment of $100 or more per artwork)

 

 

Balance Due:

 

 


     First Name:      Last Name:

     Address:
     

     Phone: ()      x

     E-Mail:

 

 

     Please send Your Check or Money Order to:
     John August Swanson
     8417 Holy Cross Pl.
     Los Angeles, CA 90045

 

 

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Copyright 2019 John August Swanson