PURCHASE FORM Print this form and indicate purchase(s). Ask about our 90-day layaway plan. Send check or money order to: GALLERY ON WHEELS 62 Pheasant Ridge Drive Loudonville, New York 12211-1254 Original Art by Barbara Wooster
Check Item |
Price |
Title |
Size |
$265.00 |
BACK IN THE SADDLE |
18" x 18" |
|
$300.00 |
SMALL TOWN |
18" x 12" |
|
$140.00 |
PACK OF CATS |
7" x 10" |
|
$175.00 |
CATS AT HOME |
10" x 14" |
|
$235.00 |
WINTER VILLAGE XIII |
10" x 14" |
|
$300.00 |
RACING |
18" x 24" |
Original Art by DiAnne Tracy
Title of Purchase |
Price |
|
Subtotal |
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NYS Tax (All purchases shipped to NY residents) |
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Total |
Prices include shipping. Original Art is unframed. N.Y.S. residents must add sales tax for delivery address. How may we get in touch with you: Telephone: (____) _____-_________FAX: (____) _____-_________ E-Mail Address:____________________ SHIPPING LABEL NAME___________________________________ ADDRESS________________________________ CITY____________________________________ STATE___________________________________ ZIP CODE__________COUNTRY_____________