Senegal 3 (Viv): (Order Form)(Click on painting and Scroll down)

Rudy Davis

2929 Edison Ave, #5

Sacramento, CA 95821

  • For Now, send money order’s to the above address. (Copy formatted form on a blank sheet of paper)
  • Pick a picture
  • Pick an item
  • Fill out the form
  • Send form and money order to the above address
  • Once I receive your order and money, allow three (3) weeks for delivery.

VISA ___     MC ____   Money Orders#____________________________

Card# ___________________________________________ Exp:______/_______

Mr, Mrs., Ms:_________________________________________________________

Address:____________________________________________________________

City & State:_______________________________________Zip:______________

Phone & Email:______________________________________________________

 

I enclose $________________ purchase price ( Free Shipping)

Item:________________________ Qty:_______________

Color (If any):___________________________________

Shirt or Hoodie Size:__________________ (S, M, L, XL, XXL)

Canvas: Framed-___________ / Unframed-__________

Cup’s:  11oz.__________ / 15oz._____________

Picture on Cup:   1 pic________ /  or 2 pic_______ /  or 3 pic__________

Picture on Cup/ with words: (1 pic only)_____________ / Words or Saying:___________________

 

(Please add applicable State & Local sales tax for the following States: AZ, FL, GA, MA, MN, NE, NJ, PA, WI, WV)

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