Mail-in Order Form

Michael Story Prints

Use your browser's Print button or File menu to print this form, then fill it out and mail with your check or money order to:

ART GALORE! ART GALLERY
5722 Gloucester Drive
Tyler, Texas 75707

Ship to:
Name:_________________________________ Phone: (_______)____________________
Address:_________________________________________________________________
State:_________ Zip:_____________________ E-Mail:____________________________

Michael Story Prints Ordered:
Qty Title Description Price Shipping
____ ______________________ _________________________ $____________ $_________
____ ______________________ _________________________ $____________ $_________
____ ______________________ _________________________ $____________ $_________
____ ______________________ _________________________ $____________ $_________
____ ______________________ _________________________ $____________ $_________
Subtotals: $____________ $_________
Shipping: $____________
ORDER: $____________

Shipping charges continental USA only. Triple for foreign shipments.

Make check payable to Art Galore.