Dear Friends and Clients:

Purchase Art from RONNIE WOOD ART & MUSIC using this Order Form for Check or Money Order.

You can print out this form and mail it to me at the address listed below with your check or Money Order enclosed. Please be sure to include $60 shipping fee. You can also fax it to me at 1-203-306-4053. Or you can cut and paste this order form into an email and send it to
ronniewoodart@aol.com.

But better still, why don't you call me directly at 1-212-337-0001 and we can discuss your order in person? That way I can put together a special package for you and we can get to know each other while we're at it.

I look forward to hearing from you...

Mark Pines
Webmaster
RONNIE WOOD ART & MUSIC


Ronnie Wood Art & Music

Order Form

PLEASE MAKE YOUR SELECTIONS:

(To review selections, click here)


SHIPPING INFORMATION

NAME: ________________________________________
STREET: ______________________________________
CITY: ________________________________________
STATE: ___________________ ZIP CODE: _____________
COUNTRY: ______________
TELEPHONE NUMBER:
EMAIL:

ITEMS SELECTED

ITEM NUMBER

TITLE

PRICE

1) UK97_____   $
2) UK97_____   $
3) UK97_____   $
4) UK97_____   $
5) UK97_____   $
    __________
 

Sub-Total:

$

 

Shipping:

$ ..... 60.00

 

TOTAL DUE:

$ .....


RONNIE WOOD ART & MUSIC

Checks & Money Orders payable to: MARK PINES

Mail To:
MARK PINES
Video Edington
236 West 27th Street - Suite # 10 FC
New York, NY 10001 U.S.A.

TEL: 212 337-0001 FAX: 270-518-8445

E-mail us at: ronniewoodart@aol.com


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RONNIE WOOD ART & MUSIC