ARTEGO STUDIO  

                                         ORDERING FORM for ARTWORK                                  

This Ordering Form should be printed out and sent to us together with the payment

Please provide the following information:

Name
Phone
E-mail
  Shipping - Street Address
City 
State/ Prov. + Zip-postal Code 

                                         Type of Artwork

OriginalPainting    Titel of  Artwork   
Giclee print on Canvas large    Titel of  Artwork   
Giclee print on Canvas 12x16 or 12x12    Titel of  Artwork   
   
Giclee print on paper 10x13    Titel of  Artwork  provide details below
 
   

 Total amount for Artwork - US $  according to prices on web-site or provided

                       PAYMENT - make payable to George K. Salhofer

  Personal Check       
Money Order       

send to: George K. Salhofer,  P.O.Box 282,  Key West, FL 3304

                           Enter the date of ...  -- m/d/y