MAIL ORDER FORM

Please print out & send check or money order to:

Gary Chafe
P. O. Box 2134
Santa Barbara, CA 93120
805-963-3551
Santa Barbara, California USA
gchafe@verizon.net
www.garychafe.com

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1. Bamboo Series Giclée Print
21 x 31 inch • archival paper (unframed)
$250 each (wholesale)
Qty ____    Sub Total ______

2. Bamboo Series Giclée Print
21 x 31 inch • archival paper (unframed)
$250 each (wholesale)
Qty ____    Sub Total ______

3. Bamboo Series Giclée Print
21 x 31 inch • archival paper (unframed)
$250 each (wholesale)
Qty ____    Sub Total ______

4. Bamboo Series Giclée Print
21 x 31 inch • archival paper (unframed)
$250 each (wholesale)
Qty ____    Sub Total ______

5. Bamboo Series Giclée Print
21 x 31 inch • archival paper (unframed)
$250 each (wholesale)
Qty ____    Sub Total ______

6. Bamboo Series Giclée Print
21 x 31 inch • archival paper (unframed)
$250 each (wholesale)
Qty ____    Sub Total ______
TOTAL: $______

(US shipping, handling & California tax included, allow 4 to 6 weeks for delivery)

(for International shipping Gary Chafe will contact you with charges)

Date ___________

Name ______________________________________________

Company Name ______________________________________________

Address ______________________________________________

City, State, Zip ______________________________________________

Telephone _____________________________

Fax _____________________________

Email _____________________________