Please provide the following ordering information:
Sculpture Description
Price $
S&H $50.00
Total Order Amount $
Name
First
Last
Email Address
SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Telephone
Country
Each order will include a $50.00 Shipping &
Handling Charge. One order per page please. Complete all information
on this form. Print this page and mail it with your check or money
order to:
David Selby, P.
O. Box 527, Sugar Land, TX
77478-0527
Sculptures are on a
"first come" basis. If the sculpture you are requesting has
already been purchased, you will be notified immediately.
