OMIROS ART MUSEUM STORE - ORDER FORM
To order, please fill out the form,
PRINT a copy of this form and MAIL it with your check
to the following address:...............................................................
or FAX the form with credit card information to:.......................

The OMIROS ART FOUNDATION
380 Mountain Road, Apt 1904
Union City, New Jersey, 07087, USA
Fax: (201) 436-1601  Phone: (201) 865-3873
Name
Organization
Address
Telephone
City Postal/Zip code  Country Email
Check
Item
Item #
Unit Price
Quantity
Book: Abstract and Beyond (NEW)
1
$75
Book: Byzantine Art, a contemporary view
2
$55
Poster: Leda and the swan (large)
3
$22
Poster:          "          "        (small)
4
$12
Poster: Birth of Venus (large)
5
$22
Poster:     "          "      (small)
6
$12
Poster: Javelin thrower (large)
7
$22
Poster:     "          "       (small)
8
$12
Poster: Four Seasons - Winter (small)
9
$22
Poster: Fashion (small)
10
$12
Poster: Abstract - Butterflies (small)
11
$12

Payment Method:
Check or money order payable to the Omiros Art Foundation
Credit Card:   Visa     Master   Discover   American Express
Name of card holder:     
Credit Card #:   Expiration:

Signature:__________________________

 Sub-Total
Shipping *
Donation **
Tax deductible
TOTAL DUE

 

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Your comments
* SHIPPING CHARGE  
Amount of Sale
Shipping Charge
$ 0.01 - 25.00
$ 7.00
$ 25.01 - 40.00
$ 8.00
$ 40.01 - 70.00
$ 9.00
$ 70.01 - 100.00
$ 10.00
$ 100.01 & up
15%
Canada and Mexico add $10.00
Other outside U.S. add $20.00
** The "Omiros Art Foundation" meets all criteria as a not-for-profit corporation under Section 501(c)(3) of the Internal Revenue Code. The Omiros Art Foundation welcomes any contributions. Contributions are tax-deductible to the donor.

For gifts to be sent, please provide us with the following information:
Name of Sender   
Item #'s to be shipped
--------------------------------------------------------------------------------
Name of recipient
Ship to:
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            City Postal/Zip code
            Country

Greeting message:

 

Copyright@2000,2001,2002 Designed and maintained by Paul Hriso