How to use this form:
1. Type in the Item Number, Description and Quantity, Size, Color
2. Type in Price
3. Make sure you calculate your totals for shipping* and tax (.775% in CA)
4. Fill in your personal information and Credit Card Info
5. Click the 'send' button to submit your order or print the page and mail it to us!

* Shipping
US - 7% of subtotal
Canada - $10.00 flat rate
Foreign - $20.00 flat rate

Item Number:

Description:

Qty:

Size:

Color:

Price:


Item Number:

Description:

Qty:

Size:

Color:

Price:


Item Number:

Description:

Qty:

Size:

Color:

Price:


Item Number:

Description:

Qty:

Size:

Color:

Price:


Total:

CA Tax (if applicable):

Shipping:
Total Price:

Name on Card: Type of Card:

Credit Card #:

exp.

First Name: Last Name:

Mailing Address:
Billing Address:
Telephone:

E-mail Address:



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Check for a dealer in your area.

Leslie Engelhart Western Art
PO Box 731
Linden, CA 95236
209-887-2627
fax:  209-887-2127

Summer address
13489 Westside Rd.
Lakeview, OR 97630
541-947-3448
fax:  541-947-7448
leslie@cowboyprints.com
Copyright © 1997-2009 Leslie Engelhart Western Art

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