ART & FRAMING SOLUTIONS - PRINT & FAX ORDER FORM

4250 Morena Blvd. Ste. E, San Diego  CA  92117

Tel: (858)273-7353  Fax: (858)273-7378

www.ArtAndFramingSolutions.com 

e-mail: sales@artandframingsolutions.com

Order Form - Brushstroke Gel

Quantity

1 quart @ $26.95         __________

1/2 gallon @ $46.95    __________

1 gallon @ $77.95       __________

Shipping and handling within the USA via UPS ground, Fedex or US Post Office

Please contact us for shipping charges.

Customer Name:  ________________________________________

Shipping Address:  _______________________________________

                                 _______________________________________

Telephone: ____________  E-mail: ___________________________

Credit Card Number: __________________________________

Security Code: ___________________(3 digit number on back of card)

Expiration: __________________________________________

Credit Card Billing Address:  _________________________________

Credit Card Holder's Name:  __________________________________

Special Instructions: ________________________________________

Signature: __________________________________________

PLEASE PRINT OUT THIS FORM AND FAX TO: (858)273-7378