New Moon Studios
P.O.Box 934, West Brookfield, MA 01585
774-200-1622        newmoonstu@aol.com

Please print out this order form and mail it with your check or bankcard number, or phone in your order.

Ordered by: Send to:
Name _______________________________ Name ________________________________
Address _____________________________ Address ______________________________
City ________________________________ City _________________________________
Phone ______________________________ Phone _______________________________
Email ______________________________ Email ________________________________

Specify whether prints are unframed or framed.

How many?
Name of Woodcut
unframed or Framed
Price each
Total
         
         
         
         
         
         
Total for merchandise
 
CT, MA, NJ, NY, PA residents add sales tax
 
Please call for shipping and handling costs
 

Total enclosed

 

Checks, Money Orders, MasterCard and Visa are welcome.

Your Bankcard number: _ _ _ _  _ _ _ _  _ _ _ _  _ _ _ _   exp: _ _ /_ _

Your signature_______________________________________________

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