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	Titel of  Artwork
Giclee print on paper 10x13	Titel of  Artwork(s)  provide details below
Art -print on ceramic Tile	Titel of  Artwork(s)  provide details below

Item	Title of Artwork for  Gicle prints  10 x 13  (16 x 20 matted)                  QTY

Item	Title of Artwork for Art-prints on Tiles                                                QTY

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