ORDER FORM

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To place an order simply Print this page (or for one to be mailed out), fill in the form and send it, together with photograph(s) and 50% deposit, to the address on the bottom of the form.

NAME:.....................................................................................................................................................................................

ADDRESS:.............................................................................................................................................................................
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.......................................................................................................POSTCODE: ...............................................

TELEPHONE NO/E-MAIL ADDRESS: ..................................................................................................

PLEASE CIRCLE YOUR CHOICE: Pencil Drawing or Watercolour Painting Head or Full Body

PLEASE CIRCLE PICTURE SIZE: 8 x 6 (Head only) 10 x 8 14 x 10 16 x 12 (Painting only)
(Sizes are in inches)

PLEASE INDICATE ANY SPECIAL REQUIREMENTS:
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FULL COST OF PORTRAIT: __________

POSTAGE & PACKING __________

TOTAL COST =============

DEPOSIT SENT ___________
(A minimum of 50% is required with your order. The balance is due on completion of the portrait)

Signature .....................................................................................

Cheques should be made payable to P.C. Gledhill

Now send your order form, photos and deposit to:

Pauline Gledhill
424 Northenden Road,
Sale,
Cheshire. M33 2PR
England.

Please indicate where you found out about me: .........................................................................