Art by Gary Mazur - Order Form

ORDER FORM

Art by Gary Mazur, Scottsdale, Arizona

~Behind the Brush

Printable Order Form

Name________________________________________________________

Shipping Address____________________________________ Apt. No.____

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City___________________________________________________________

State______ Zip Code_____________________

Phone ( )_______________________________________________

e-mail address________________________________________________

Check or Money Orders made payable to: Gary Mazur

Send in completed order form(s) to: Gary Mazur, 6931 E. Paradise Lane, Scottsdale, AZ 85254.

~Picture Frames & Greeting Cards

~HO HO HO to the North Pole

~Contact the Artist

All works signed by the artist.

Since all artwork is orginal, the appearance may vary slightly from what you see online. All custom work is unique, but the quality is always exceptional.

Description	Qty.	Per Item	Total

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*Personalization - if applicable

Gift Orders: Send to:

Name____________________________

Address__________________________

City_____________________________

State________ Zip________________

From ____________________________ (name on gift tag)

Sub-Total
Ship/Hndlng
NAHE Discount
AZ Residents Sales Tax 8.1%
Total Order

Shipping and Handling:

Orders $1-$50 add $10

Orders $51-100 add $14

Special Order Inquiries:____________________________________________

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