Order Form

To order- print this document out on your printer and send or fax a copy of this form to the address below.
Another way is to select this entire page and copy/paste it into this [EMAIL] and then edit it right on the email browser screen.

The John Stewart Gallery
19700 Sweet Brier Place
Cottonwood, CA, 96022
Telephone: (530) 347-1429
Cell: (530) 410-1948
E-mail: tjsg@jstewart.com

Shipping Address:

   

   Name     _____________________________________________________

   Address  _____________________________________________________

   Address  _____________________________________________________

   City     __________________________________State _____________

   Zip Code _______________

   Telephone _______________________________  (to track orders)

   E-mail    _______________________________

   




   Painting or Print Description:			Price:

   __________________________________________________      ____________
	  
   __________________________________________________      ____________
   
   __________________________________________________      ____________

   __________________________________________________      ____________

                 CA  Residents add sales tax of 7.25%      ____________

        Shipping and Handling cost (small prints: $6 
        large prints: $8  paintings: by size & weight      ____________


                                                TOTAL      ____________

   ____________________________________________________________________

        
	Credit Card Information:

	[Visa][ ]  MasterCard [ ]  American Express [ ]  Discover [ ]

	Number:_________________________ Exp Date:_____

	Name on Credit Card:___________________________

	Billing Address:_______________________________

	City, State, Zip:______________________________

	or simply phone in your credit card information to: (530) 347-1429
        

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	Other payment methods:  Check [ ]    Money Order [ ]   Cashier's Check [ ]

        Please make payable to J. N. Stewart