Order Form

To order a painting, please fill out the following information.

You will contact you by email with the final shipping charge

or contact me via mail or telephone.

Method of Payment Accepted: Credit Cards-Mastercards & Visa, Money Orders & Checks

*Items followed by an asterisk are required to be filled out, other items are optional

Your form message has been successfully sent.

You have entered the following data:

Title of Work and/or #

Please correct your input in the following fields:

Error while sending the form. Please try again later.

Name: *

Address: *

E-mail address: *

City: *

State: *

Zip: *

Telephone:

Message: *

Captcha (spam protection code) *

Note: Fields marked with * are required

Please be aware that the contents of this form are not encrypted