Order Form
Artwork by Charles Dickinson
PRINTABLE ORDER FORM  

 
QTY TYPE (print, oil, etc) TITLE PRICE TOTAL PRICE

 
Total works ordered  Total for all works ordered


Shipping & Handling (U.S.):
$4.95 for a single work. $1.50 for each additional work 

International Orders:

$7.95 for a single work. $2.00 for each additional work 
Please call to ask about rates for Air Mail and priority shipping.

TOTAL AMOUNT ENCLOSED (U.S. funds only)
* Please check availability for original oils.
* If you have further questions please call us at (904) 826-3831

 FORMS OF PAYMENT:
Check: 
Check: # Amount Enclosed:
.
or
Money Order: 

 
 YOUR MAILING ADDRESS:
Name:
Address:
Address:
City: State:Zip:
Country:Telephone: email:

 
 
MAIL THIS FORM TO:
Charles E. Dickinson
Box 53
St. Augustine, FL 32085

Order by Phone: (904) 826-3831


 
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