Please use this form only if you do NOT want to pay by credit card.  

Please print out and complete this form and mail it with a Money Order  
(sorry, we cannot accept checks at this time) for the full amount to:                   

A Small Work of ArtŪ, 863 Gehrke Road, Port Angeles, WA 98362-8451

                 

Name: __________________________________________________________

Street Address:___________________________________________________

City:__________________________________ State:_____ Zip:____________

Important:

Daytime Phone:___________________________________________________

Evening Phone:___________________________________________________

SHIP TO information (if different):

Name: __________________________________________________________

Street Address:___________________________________________________

City:__________________________________ State:_____ Zip:____________


NEXT