RETAIL PURCHASE FORM

Any of my designs can be purchased directly at retail prices. Please print out the form below (or write your order) and mail with your check or money order made out to Jane L Monroe (no cash or credit cards) to 342 West Caley Ave. Littleton, Colorado 80120, U.S.A. You may also order by e-mail at utrainbow@msn.com, or by phone at 303-798-9429. All booklet orders will be shipped as soon as check clears your bank. Since I hand paint each canvas, please allow an additional approx. two weeks for shipment of canvases.

Name ____________________________________________________________ Mail address (with zip code) _________________________________________ _________________________________________________________________ Phone _____________________________     e-mail ____________________________ Design Description Qty Price Total UR _____ _______________________________________ ___ _____ ______ UR _____ _______________________________________ ___ _____ ______ UR _____ ______________________________________ ___ _____ ______ UR _____ _______________________________________ ___ _____ ______ UR _____ _______________________________________ ___ _____ ______ UR _____ _______________________________________ ___ _____ ______ UR _____ _______________________________________ ___ _____ ______ UR _____ _______________________________________ ___ _____ ______ UR _____ _______________________________________ ___ _____ ______ Subtotal  ______ Colorado residents only add 4.1% sales tax. --------------------------------     + ______ Priority mail (US only): 1-15 booklets, $4.50                                         1-7 canvases, $5.50     8-12 canvases, $7.98     + ______ Total amount due:     $ ______ * No refunds on booklets, chart packs or canvases. Please contact me if you have any questions or comments.