Print out this page, fill it out, sign it and mail it to the address below. Please print clearly.

ORDER FORM
Date: _____________ SHIP TO:
Name: ______________________________________ Name: _______________________________________
Address: ____________________________________ Address: _____________________________________
_____________________________________  _____________________________________
City: _______________________________________ City: ________________________________________
State: ________________________  Zip: _________ State: _______________________ Zip: __________
Daytime phone: ______________________________ Daytime phone: _______________________________
             Title                    Qty  Price ea.  Total 
       
       
       

Shipping, handling, and insurance on prints is $2.50 each print, add 50¢ for each additional print.
Please email for shipping and handling on original artwork, include shipping address. (Size, weight, and packing may vary.)

Method of payment:

Check or money order enclosed.
Make checks payable to Lisa Merrill

I will pay using PayPal
Don't worry if you don't have an account, setting up a PayPal account is totally FREE and easy to do.

I will Charge this order to my
Credit card on the Paypal website: Pay Now

 SUBTOTAL  
 Insurance/Shipping & Handling  
 TOTAL  
I certify by signature that I am at least 18 years old:

Questions? Call me at 973-764-8836 or email: cloudbse@warwick.net
Mail this form to:
Lisa Merrill Graphics
 5 Cedar Ter N, Glenwood, New Jersey 07418
973-764-8836