Limited Edition Print Series II Order Form

Please print this form and mail it with a check made out to

Virginia Lloyd-Davies, 366 Mackeys Lane, Fairfield, VA  24435 USA

Price: $25 each

Code
Title
Quantity
Total
PWB
purple wisteria &birds
$
PBIB
purple iris with bud
$
PMGBY
purple morning glory
$
RO
red orchid
$
RRBY
red rose w/b'fly
$
RTB
red tulip w/bee
$
PBI
purple iris
$
PW
purple wisteria
$
BI
blue irises
$
BLB
blue lupine & butterfly
$
BB
blue bluejay
$
BIB
blue irises & butterfly
$
Shipping Charges : $6 for orders up to $25
Sub-total
$
$8 for orders up to $50
$10 for orders up to $100
VA res. add
5% sales tax
$
$15 for orders over $101
Shipping
$
Total
$

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