PRINT THIS ORDER FORM AND MAIL WITH PAYMENT
(please make check or money order payable to Ron Kuschel)
Greater Art Gallery

PO Box 224
Stillwater, MN 55082
E-Mail: rubyk@winternet.com

Back To The Showcase

Circle Payment Method:          Check   Money Order

Name:(print & signature)
Address:
City:
State & Zip:
Telephone:

Item Name and Description

Price Each

Quantity

Total

Girl 15" X 20"

$49.00

   

Apres Le Tournoi 23" X 23"

$49.00

   

La Maternite 19" X 31"

$49.00

   

The Dream 23" X 23"

$49.00

   

Baloon Players 22" X 27"

$49.00

   

The Team 28" X 22"

$49.00

   

Jumping Rope 16" X 20"

$29.00

   

Jumping Rope 24" X 29"

$49.00

   

La Annonciation 11" X 14"

$29.00

   

La Annonciation 16" X 20"

$49.00

   

Adoration Du Belier 11" X 14"

$29.00

   

Adoration Du Belier 16" X 20"

$49.00

   

The Magic Flute 24" X 31"

$49.00

   

Un Seul Ballon 22" X 29"

$49.00

   

The Nutcracker 21" X 30"

$49.00

   

Madone Du Lac 11" X 14"

$29.00

   

Madone Du Lac 16" X 20"

$49.00

   

Subtotal:

 

Shipping and Handling: (FREE within continental U.S.)

 

Minnesota Residents Please Add 6.5% Sales Tax:

 

Please allow 1 - 2 weeks for delivery.

Total :