Online 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:

Mail printed orders to:
Leslie Engelhart
13489 Westside Rd.
Lakeview, OR 97630
541-947-3448
 
Fax to: 541-947-7448

Home | Gallery | Gifts & Collectibles | Notecards | Dealers | Order | Email

leslie@cowboyprints.com
Copyright © 1997, 2009 Leslie Engelhart Western Art

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