PRINT THIS ORDER
FORM AND MAIL WITH PAYMENT
PO Box 224 |
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Circle Payment Method: Check Money Order |
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| Name:(print & signature) | |
| Address: | |
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Item Name and Description |
Price Each |
Quantity |
Total |
Girl 15" X 20" |
$49.00 |
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Apres Le Tournoi 23" X 23" |
$49.00 |
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La Maternite 19" X 31" |
$49.00 |
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The Dream 23" X 23" |
$49.00 |
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Baloon Players 22" X 27" |
$49.00 |
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The Team 28" X 22" |
$49.00 |
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Jumping Rope 16" X 20" |
$29.00 |
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Jumping Rope 24" X 29" |
$49.00 |
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La Annonciation 11" X 14" |
$29.00 |
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La Annonciation 16" X 20" |
$49.00 |
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Adoration Du Belier 11" X 14" |
$29.00 |
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Adoration Du Belier 16" X 20" |
$49.00 |
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The Magic Flute 24" X 31" |
$49.00 |
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Un Seul Ballon 22" X 29" |
$49.00 |
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The Nutcracker 21" X 30" |
$49.00 |
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Madone Du Lac 11" X 14" |
$29.00 |
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Madone Du Lac 16" X 20" |
$49.00 |
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Subtotal: |
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Shipping and Handling: (FREE within continental U.S.) |
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Minnesota Residents Please Add 6.5% Sales Tax: |
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Please allow 1 - 2 weeks for delivery. |
Total : |
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