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Jim Waltman Productions Order Form
Fine Art MetalWorks Contact the Artist (Jim)
Zorn, Texas Sales & Delivery (Michael)



Instructions:
20% discount for two or more of similar items, framing extra, private/custom orders accepted, free shipping on subtotals over $90 or free scheduled delivery/pickup to our Sales Agent Mozart's Coffee Roasters. Items marked with an ' * ' are on display at Mozart's.

Sold To: Ship To: ( __ check if same )
Name _________________________ Name _________________________
Address 1 _________________________ Address 1 _________________________
Address 2 _________________________ Address 2 _________________________
City / St / Zip _________________________ City / St / Zip _________________________
Phone Number _________________________ Phone Number _________________________
E-Mail _________________________ E-Mail _________________________



Currently Available (approx. dimensions in inches, Height x Width):

Price Quantity Amount
After the Bath (17" x 15") $ 595 _____ ________
Dolce far niente ["It's sweet doing nothing"] (19" x 15") $ 595 _____ ________
Dreamer (12" x 40") $ 595 _____ ________
Flower, leaves down (39" x 12") * $ 75 _____ ________
Flower, leaves up (39" x 12") * $ 75 _____ ________
Heart (8" x 8") * $ 45 _____ ________
Insomnicat (7" x 15") * $ 95 _____ ________
Lost in Thought (25" x 14") $ 595 _____ ________
Sleeping Cat (7" x 17") * $ 95 _____ ________
Subtotal ________
Shipping (free > $90) _______
Tax _______
Total ________



To order, please either print and fax the Printable version of our Order Form to 206-203-2699 or copy and paste this form into the Message box of our Contact form.