Untitled Document

Portrait/Painting Order Form

Type in informaion, then print & mail with your payment.
If ordering more than one painting, please use one form for each painting ordered.

Your Name (Required):

Address1 (Required):

Address2:

City (Required):

State (Required):

Zip Code (Required):

Telephone (Required):

E-mail (Required):

Please check off painting size for this order

Painting Size 81/2x11; $185.00 This painting can only include one person or pet if you are ordering a portrait. Includes acid free mat 11x14. Shipping cost US only $11.99		Painting Size 11x14 $235.00 This painting can include two people or pets, if you are ordering a portrait. Includes acid free mat 16x20. Shipping cost US only $13.99	Painting Size 16x20 $275.00 This painting can include more than two people or pets, if you are ordering a portrait. Includes acid free mat 24x28. Shipping cost US only $16.99
Total $196.99		Total $248.99	Total $291.99

Please describe your painting in the box below. Include any
important features or information about the subject. You may also
attach a seperate letter if you prefer.

Number of Photos mailed:

All photos will be returned with your painting/portrait order.

If this is a gift, please leave a contact number where I can reach you or leave
a message so I don't ruin the surprise.

Total Check Enclosed:

Thank you for your order. Mail order form with check/Money order:

Janine LaValley
313 Hill Rd., Groton, MA 01450

978-448-3963 or toll free 1-800-286-6558

Important information regarding your order.

Additional shipping options, such as private carrier, overnight, 3 day or signature delivery can be requested at the time of ordering for an additional cost.

Allow three to four weeks for painting to be completed and shipped after your order is received and payment is processed.

Christmas holiday orders must be received by Nov. 19th. and will be painted in the order they are received.

I will notify you if it is received to late for Christmas delivery. But I will send you a gift card with the approximate shipping date so you can give it to the recipient. Then they know you have ordered a portrait for their Christmas gift.

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