Pencil Art Australia Order Form

Please print out this page, complete all the details, then

Mail to: Pencil Art Australia, PO Box 287, EUMUNDI, QLD, 4562

Or Fax to (07) 5442 7835. International +61 7 5442 7835.

Alternatively, Phone 0409 543 565 or Email wendy@pencilart.com.au

 

DRAWINGS

QTY

PRICE $AUD

SUBTOTAL

Australian Bass Limited Edition Print

 

$485

 

Cockatoo Series – Set of 4

 

$625

 

Coral Trout  Limited Edition Print

$485

 

Leaping Barramundi  Limited Edition Print

 

$485

 

Mangrove Jack  Limited Edition Print

$485

 

Rainbow Trout  Limited Edition Print

$485

 

“Sitting Pretty” Limited Edition Print

 

$525

 

Skeletal Barramundi Limited Edition Print

$485

 

Sweethearts  Limited Edition Print

$425

 

"Time"  Sunflowers  Limited Edition Print

 

$465

 

Australian Bass Original

 

$12,000

 

Hanging Out  Original

 

$7,000

 

Leaping Barramundi  Original

 

SOLD

 

Rainbow Trout  Original

 

$12,000

 

Skeletal Barramundi Original

$12,000

 

Sitting Pretty  Original

SOLD

 

Sweethearts  Original

$12,000

 

The Rose  Original

$12,000

 

Postage & Handling (within Australia)

$20.00

Postage & Handling (International)

$35.00

TOTAL

$

Name:

..........................................................................................................................................

Address:

..........................................................................................................................................

 

..........................................................................................................................................

State:

..............................................................  Postcode:  ............................................................

Country:

..........................................................................................................................................

Email:

..........................................................................................................................................

Phone:

..........................................................................................................................................

 

Method of Payment:           Visa             Mastercard   Bank Card      Cheque        Money Order

 

Card Number: ..................................................................... Expiry Date........................................

Card Holder: ..................................................... Signature:...........................................................