Helen Gotlib

**Print-Out Order Form

and send with a check or

money order to

*Please contact
me for prices of original artwork.

Helen Gotlib
542 N. Main St.
Ann Arbor, MI
48104

*Orders will be shipped as

soon as checks are cleared

OR

if you use paypal I'm happy to create an

invoice for you threw them and you will be able to pay online

My paypal account is under hgotlib@yahoo.com

Email: hgotlib@yahoo.com

Phone 734.678.7976

Qty.	Item	Price Ea.	Total
	Tomoko at Rest Poster (signed)	$25
	Beetle Optometry Poster (signed)	$25
	8 Card Gift Boxes (note cards)	$12
	Single Cards (specify note card)	$2
	12 Beetle Card Gift Boxes (note cards)	$13
	Emily Poster (signed)	$25
	Woman Poster (signed)	$25
	Green Hands Poster (signed)	$25
		Shipping and handling(US) for all posters(unframed)	$10
		Shipping for boxed cards	$4(for more than 3 boxes please email me about shipping costs)
		Grand Total

(Those orders outside the US please email where you are and I will send you shipping cost.)

Name:

Email:

Address:

City, St., Zip:

Phone:

Thank you for your order!