*** SPECIAL ART PRINT ***

** ORDER FORM  **

(For Private Use only) (For Commercial Use, Contact:  bruce@artisthakli.com)

Your Name

 Your Address

 Your Prov / State / Country

Postal / Zip Code

Telephone

Email Address

No.1 Art Work Selection

No.2 Art Work Selection

Order 1 Only Art Print File

 Order 2 Only Art Print Files

Mail To: Bruce R. T. Hakli  b.f.a.

220-1699 Ross Road

Kelowna, B.C.

Canada

V1Z 1L8

 ** Your Additional Comments **

.Add Your Comments:

** If you do not receive a response within 24 Hours

of your submission, Please contact me.