Print Order Form & mail with payment to artist (please print neatly)

Name of buyer___________________________________________________ 

Address: Street_________________________________________________

Town, ________________ 	State____  Zip_______

Phone_______________________     Email_________________________

Name of print___________________________________________________ 

Size of print___________________________________________________ 

Check one: 
Print only__  # of prints ___ price  ________ +  $5 shipping
Matted__      # of prints ___ price  ________ +  $10 shipping
Framed__      # of prints ___ price  ________ +  $20 shipping

Total amount enclosed_$___________(including shipping)

Please make check payable to Renee Balter and mail with this form  to:
P.O. Box 106, Oak Bluffs, MA 02557

Sorry, but we do not accept credit cards

PRINT FORM