Order Form

For print orders we have two ways of ordering:
1. Fill in the blocks below, print form, and mail with payment to address on bottom of this page.
2. Call the phone number listed below to place order. Order will be shipped upon receipt of payment.

Please make payment with check or money order to Fred Rothenbush. Allow 2-4 weeks for shipment.

To inquire about a remarque print or an original piece of artwork, please contact Fred at the phone number below. Commissions accepted.

Name

Mailing Address

City State Zip Code

Phone Number

E-mail Address

Print Title(s)

Total Cost $ (add $5.00 S.H. for up to three prints in one package)

Remarks

Mail order form to:
 
Fred Rothenbush
111 2nd St. NW
Ruskin, FL 33570
 
or call: (813) 645-4123

 

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