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PERSONAL
INFORMATION
Your full name:___________________________________________________
Street
Address:____________________________________________________
City:_____________________________________________________________
Country:_______________________________
Postal Code:____________________________
Phone: (______)________________ Fax: (______)______________
E-mail:_________________________________________________________
PAINTING INFORMATION
Artist's Name:______________________________________________________
Painting Title:______________________________________________________
Image Size (indicate
inches or cm's):___________________________________
Signature on painting: Yes or No and location:____________________________
Medium: (Circle what
applies)
OIL
CANVAS
MASONITE/ HARDBOARD
WATERCOLOR
OTHER___________________
Price: ____________________$Cdn
please indicate if the frame is included
Description- include
previous owners/ Exhibitions:_________________________
__________________________________________________________________
__________________________________________________________________
HOW DO YOU WISH TO
BE CONTACTED BY PROSPECTIVE BUYERS?
Circle any or all:
phone mail fax E-mail
PAYMENT INFORMATION
All
ads are charged $250.00 per ad for 4 months.
We will run the ads for 4 months, and if you wish to renew the ad,
there is a flat $20.00 charge every 4 months.
PAYMENT
INFORMATION
All Classified Ads are subject to 6 % GST within Canada and 7 % PST within British Columbia.
Please be sure to add this onto any advertisements.
Please make cheques payable to Fine Art Marketing
Services if mailing advertisement in.
CREDIT CARD- VISA
and MASTERCARD ONLY
CREDIT CARD DETAILS:
Credit Card type (ie
Visa):_______________________
Credit card Customer Service phone number (on back of card):_________________
Print Cardholder Name:_______________________________________
Card Number:_______________________________________________
Card Expiration Date:_________________________________________
Address to which your credit card statement is mailed:
_____________________________
_____________________________
_____________________________
Total Amount
of purchase (please add 7 % PST and 6 % GST where applicable):$____________Cdn
I declare that
I am the Cardholder above and my signature authorizes payment for the
above amount:
Signed:_________________________________________________________
FAX
ORDERS:
Once this information is completed, fax this form and credit card info
(and cheque if applicable payable to Fine
Art Marketing Services) to:
Inaean Art Group c/o Group of Seven Art.com
Fax: 403-949-3224.
MAIL ORDERS:
For those mailing in payment/ orders, please mail to:
Inaean Art Group c/o Group of Seven Art.com
276 B.
East Esplanade Ave. (Lane)
Bragg Creek, AB T0L 0K0
Please
allow 1-2 weeks for processing. A receipt will be sent to you.
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