Watercolors by Boozer

Order Form

[FrontPage Save Results Component] Please provide the following contact information: *Required Fields

*Name Enter First and Last Name

*Street Address

Address (cont.)

*City

*State

*Zip/Postal Code

Country United States

*Home Phone Enter as xxx-xxx-xxxx
*Work Phone Enter as xxx-xxx-xxxx

FAX Enter as xxx-xxx-xxxx

*E-mail

Please provide the following ordering information:

QTY ITEM DESCRIPTION PRICE

You only need to fill this out if different from above address.

SHIPPING
Street Address
Address (cont.)
City
State
Zip/Postal Code
Country United States
NOTE: This form is sent
BILLING via email, not over a
*Payment Method secure line. You can call
Cardholder Name me at: 706-754-0804

Card Number to place your credit card

Expiration Date order if you prefer.

Shipment will be made within 7-10 days following clearance of credit card or check. Satisfaction is guaranteed if returned, at the customer's expense, within 10 days of receipt after confirmation by fax or email of approval of return. In placing an order, the customer understands and agrees that the copyrights to the images remain with the artist.

NOTE: I will not be able to accept any International Orders.

You will be sent a price confirmation email with the total price including shipping and handling (and 7 % sales tax if a Georgia resident).

Revised: 09/08/07

*Name		Enter First and Last Name
*Street Address
Address (cont.)
*City
*State
*Zip/Postal Code
Country	United States
*Home Phone		Enter as xxx-xxx-xxxx
*Work Phone		Enter as xxx-xxx-xxxx
FAX		Enter as xxx-xxx-xxxx
*E-mail

	SHIPPING
Street Address
Address (cont.)
City
State
Zip/Postal Code
Country	United States
		NOTE: This form is sent
	BILLING	via email, not over a
*Payment Method		secure line. You can call
Cardholder Name		me at: 706-754-0804
Card Number		to place your credit card
Expiration Date		order if you prefer.