Ordered By: (Please Print)
Name: ____________________Last Name______________________
Address:_________________________________
City / State / Zip:___________________________________________
Phone: (..........) ___________________
E-Mail: ________________________________
Gift Order, or Ship To: (only if not the same)
Name:__________________________________
Address:___________________________________
City/State/Zip:_____________________________________________
Phone: (..........) ___________________
~~ 50% of the proceeds ~~
will go to help our own
local animal shelter !
| Size | Pencil | Acrylic |
| 8" X 10" | $75.00 | $90.00 |
| 11" X 14" | $85.00 | $100.00 |
| 16" X 20" | $105.00 | $120.00 |
Kimberly S Begeal / 121 Steinbough Lane, Oxford, NY 13830 /