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Mail or Phone Order Form

Please complete this form before mailing it or calling in your order.

There is a Reference Number on each print for Example: #01-785 please put the correct print number in the following spaces provided. Order 4 Prints and receive the 5th one FREE. Please write neatly

Selection: 1._________ 2.__________ 3.___________

4.__________ 5.__________FREE

Name on Card:__________________________________________________

Address:______________________________________________________

City, Country & Zip: _____________________________________________

Phone: ______________________ or _______________________

Mailing Address if different from above: Name: _______________________

Address: _____________________________________________________

Please circle one of the following:Sale Void Refund
Card Type: (circle one) Visa or Mastercard

Account Number: ______________________________________

Expiration Date: Month: ________Year:________

Amount: $_____________Use of the decimal place is required.

Sign Here: x___________________________

For Mail Orders send this form to:

 
 
© The Art Side Of Dreams - All Rights Reserved 2008
P.O Box 140 Penrith NSW 2751
Cell Phone 0404 596 727 and Outside of Australia +61 404 596727   Email: enquiries@theartsideofdreams.com