Letter Art Order Form
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Names  to be painted (separated by commas):

Number of letters at $4.00 each:   Number of names:

for letters: $ .00  S&H: $ .00

(up to 4 names per shipping carton): $4.00 per carton

 Total this order: $ .00

Payment method: Check or Money Order. Please make check or money order out to: Gwen Florea

Ship to:

Name: 
Address 1: 
Address 2: 
City:
  State:   Zip:
 
Phone Number: 
-
-

Print this page, and mail the filled-in order form and remittance to:

Gwen Florea
9729 Meeks Bay Avenue
Las Vegas, NV 89148