Limited Edition Print Series II
Order Form


Price: $ 25 each

Code
Qty
Title
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 $
sub-total
$
VA res. add 5% sales tax
$
shipping
$
Total
$

Shipping: $8.00 for one - add $2.00 for each additional print

Allow 4 weeks for delivery

Name
________________________________________________________
Address
________________________________________________________
State
______________________________ Zip__________________

Circle one     Visa      MC

Credit Card #                                                                   .

Expiration Date  (00/00)           /         .

Zip Code (the one which matches the billing address of the card) ___________.

Signature                                                                             .

Please print out this form and mail it with your credit card information or with a check made out to

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

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