GRAPE APE DESIGN

BLACK & WHITE ART PRINTS ORDER FORM

1.   VEHICLE DESIGN / DESCRIPTION

MAKE: __________________  MODEL: ____________________________  YEAR: ________________

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MAKE: __________________  MODEL: ____________________________  YEAR: ________________

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MAKE: __________________  MODEL: ____________________________  YEAR: ________________

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MAKE: __________________  MODEL: ____________________________  YEAR: ________________

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*CONTINUE ON REVERSE IF MORE SPACE IS NECESSARY

2.  PRICING:   $8 FOR ONE PRINT, AND $6 FOR EACH ADDITIONAL PRINT. 

     *CONTACT VIA PHONE OR EMAIL FOR BULK ORDER PRICING. (MORE THAN 10)

3.  VEHICLE ACCESSORIES:  FOR CUSTOM ORDERS ONLY:  (CONTACT FOR PRICING)

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       **ACCESSORIES NOT SHOWN ON ORIGINAL DESIGN MAY BE ADDED.

       **WORDS AND BACKGROUNDS MAY BE ADDED.

       **ADDITIONAL COSTS FOR CUSTOMIZING: PRICES MAY VARY  UPON COMPLEXITY

       **ASK FOR DETAILS.

       **COLOR PRINTS ARE AVAILABLE!!!!  CONTACT US FOR INFORMATION.

4.  COMMENTS:  

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5.  ALL PRINTS ARE MOUNTED ON 8.5x11 BLACK CARD STOCK - READY FOR FRAME

6.  SHIPPING:  $4  FOR UP TO 6 ITEMS

7.  YOUR INFO:  

    NAME:___________________________________________________________________

    ADDRESS:________________________________________________________________

    __________________________________________PHONE:________________________

8.  PAYMENT METHOD:

     CHECK: ___________  MONEY ORDER: ____________  PAYPAL: (ADD $2):___________

CONTACT INFORMATION:

(336) 434-6076  PLEASE LEAVE A MESSAGE

I WILL RETURN YOUR CALL

E-MAIL: grapeaperanger@yahoo.com

WEBSITE: www.grapeapedesign.com

MAIL FORMS AND

PAYMENT TO:

DEAN SCHIMMENTI

527 WEAVER AVE

HIGH POINT, NC 27263