Order Form

We currently do not have on-line ordering. This is a form that you can fill out on your computer, then print out and mail to the address at the bottom of this form. You can also place orders by phone at 716/731-3791 (M-F, 11 am - 7 pm EST). Please leave a message if there is no answer.

Date of Order:

Ordered By:
Name:
Address:
Apt/Suite:
City:
State:	Zip:
Country:	County:
Phone:	e-Mail Address:
Ship To (if different from above):
Name:
Company:
Address:
Apt/Suite:
City:
State:	Zip:
Country:
Phone:
Is this a gift? I will include a short note in the package indicating who it is to, who it is from, and a short message:

Method of Payment:
Personal Check
Card Number:			Exp. Date:
Name on Card:		CVV Code (3 digit code on back of card):

Quantity	Print Title	Size	Mat Color	Frame?	Unit Price	Total
		11x14 14x18 16x20 Skyline	No Matting Sky Blue Navy Blue Hunter Green Rust Burgundy Dark Gray Red Purple	No Frame Ash Frame Metal Frame Fruitwood Frame Black Wood Frame
		11x14 14x18 16x20 Skyline	No Matting Sky Blue Navy Blue Hunter Green Rust Burgundy Dark Gray Red Purple	No Frame Ash Frame Metal Frame Fruitwood Frame Black Wood Frame
		11x14 14x18 16x20 Skyline	No Matting Sky Blue Navy Blue Hunter Green Rust Burgundy Dark Gray Red Purple	No Frame Ash Frame Metal Frame Fruitwood Frame Black Wood Frame
		11x14 14x18 16x20 Skyline	No Matting Sky Blue Navy Blue Hunter Green Rust Burgundy Dark Gray Red Purple	No Frame Ash Frame Metal Frame Fruitwood Frame Black Wood Frame
		11x14 14x18 16x20 Skyline	No Matting Sky Blue Navy Blue Hunter Green Rust Burgundy Dark Gray Red Purple	No Frame Ash Frame Metal Frame Fruitwood Frame Black Wood Frame
		11x14 14x18 16x20 Skyline	No Matting Sky Blue Navy Blue Hunter Green Rust Burgundy Dark Gray Red Purple	No Frame Ash Frame Metal Frame Fruitwood Frame Black Wood Frame
Discount Code:
Sales Total:
Shipping and Handling (see below):
Sub-Total:
Sales Tax (NY State Delivery Only - In NY, Sales Tax is calculated on Merchandise AND Shipping):
Total:

When you have completed the form, print it on your printer and mail to:

Michael S. Smith Graphics P.O. Box 3, LaSalle Station Niagara Falls, New York 14304

Shipping and Handling Charges:

Loose Prints (any quantity): $4.00 Matted Prints: $6.00 for first, $1 for each additional Framed Prints: $8 for first, $3 for each additional For international orders, please e-mail me for a quote on shipping

Ordering Details:

Allow 2-3 weeks from receipt of order for delivery. If you need your order sooner, please call 716/731-3791 for an estimate. Prices are subject to change without notice. Please make checks payable to Michael S. Smith Send orders to: Michael S. Smith P.O. Box 3, LaSalle Station Niagara Falls, New York 14304

Contact Information:

If you have questions, or would like to place an order by phone, call 716/731-3791 (M-F, 11 am - 7 pm EST). If there is no answer, please leave your name and number and I will return your call in a timely manner. I can also be reached via e-mail at mssart@mac.com

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