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ORDER FORM

Fill out the order then print page to mail or fax your order (239- 992-8288 fax). Do not forget to sign the caricature agreement on the order form. Provide a good quailty color photo of the person you wish to have painted. (Photos will be returned.) Size of the head must be the same size as sample size shown OR LARGER. Complete all information below and mail with photos and payment in full to d.hummel-marconi. P.O. Box 989, Bonita Springs, FL  34133.  If you have further questions, you may call 239-992-6989 or email debbie@MyThing.com or visit my website www.MyThing.com .  Please allow four weeks for completion. Payment may be made by cash, check, Mastercard, or Visa.

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Sample

                                          

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Male Golfer

Woman Golfer

Male Wine Tasting

Woman Chef

 

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Tennis

American Golfer

Golfcart

Beach

                                                 

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Man Sitting

Woman Sitting

Couple

                                      Fill out the order then print page to mail or fax

QTY

DESCRIPTION

SIZE

 COST EACH TOTAL

11" X 14"

$300

14" X 18"

$400

(extra face) @ $150 each

$150
TOTAL FOR MERCHANDISE ABOVE
ADD 6% SALES TAX
(FLORIDA RESIDENTS ONLY)
SHIPPING & HANDLING (SEE BELOW)
FINAL TOTAL

Shipping:  $30

BILL TO:

NAME
STREET ADDRESS
CITY
STATE/PROVINCE
ZIP/POSTAL CODE
COUNTRY
DAYTIME PHONE
E-MAIL ADDRESS

PAYMENT:

CHECK/MONEY ORDER

MC# EXPIRATION DATE:
VISA# EXPIRATION DATE:

NAME AS IT APPEARS ON YOUR CARD:

SEND TO (IF DIFFERENT FROM ABOVE)

NAME
STREET ADDRESS
CITY
STATE/PROVINCE
ZIP/POSTAL CODE
COUNTRY
DAYTIME PHONE
E-MAIL ADDRESS

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You are ordering a gallery-wrapped canvas giclée reproduction that the artist will paint your caricature onto thus making it a hand-embellished limited edition, numbered one of one. The photo that you provide will reflect the same hairstyle, facial expression and coloring in the finished work.  A caricature is a likeness of an individual and should not be confused with fine portraiture. Revisions are available and subject to a charge of twenty-five dollars per hour. 

Signature ______________________

Date

 _______________

Print completed form and sign caricature agreement then mail or fax order