|
General Order Form
TITLE: __________________________________
shipping included: |
Cost $________ |
| In California add sales tax (9.75% x $______ = $___.__) |
______________ |
| Total: |
______________ |
| Less Deposit (check enclosed -- minimum $100.00 |
______________ |
| Balance due (delivery upon payment in full): |
______________ |
| Name |
_________________________________________________ |
| Address |
_________________________________________________ |
| |
_________________________________________________ |
| Telephone |
___(______)_______________________________________ |
| E-mail |
________________ @ _______________________ . ______ |
Mail to:
John August Swanson
8417 Holy Cross Place
Los Angeles, California 90045
323-665-3677 |
About the Artist
