Order form for a Pet Portrait by JACK LINDSAY

Jack  Lindsay,  138 East Mountain Way,   Asheville, North Carolina  28805

     Phone: 828-299-3766       E-mail: noahsart@charter.net

Please print out a copy of this form. After completing the information, send it with your photos and check to me at the above address. Thank you very much for the commission.   I know that I will enjoy spending time with your pet. Important Note: I will not deposit your your check until the portrait meets your approval and is shipped to you.

Order date: _____________________________     Date required by: _________________________

Name:___________________________ Ship to:__________________________
Address:_________________________ Address:_________________________
________________________________ ________________________________
City&State:

____________________Zip:__________

City&State:

______________________Zip:__________

Phone:___________________________
E-Mail:___________________________
Pet's  Name(s): Size: 12 X 16 @ $255.00       
  Size: 16 X 20 @ $285.00       
  Addt'l head @ $170.00 each  
Dog Frame @ $80.00,   Style ________  
Cat Note Cards @ 10 for $20.00  Qty__  
Horse Ship, Insurance, Packing                       24.00
Other Check Number _________________ TOTAL:

Dedication information: ____________________________________________________________

Special instructions: ________________________________________________________________

No. of photos sent with order: ______ SIGNATURE:                                           BACK to Order Info. page