Order Form

*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 (8.25% in CA) 4. Fill in your personal information and Credit Card Info 5. Print the page and fax or mail it or copy and paste into an e-mail. If you use the e-mail option, we recommend you do not include credit card numbers since it is not a secure method of communication. * Please call for Shipping and Framing costs.
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:

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:
City, State Zip Code
Billing Address:
City, State Zip Code
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 © 1997-2011 Leslie Engelhart Western Art

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