Fax Order Form
MasterClass
Art
fax to +61 3 9570 4655
1st painting
2nd painting (if applicable)
3rd painting (if applicable)
Name of Artist:
Name of Artist:
Name of Artist:
Title of painting:
Title of painting:
Title of painting:
Item No.
Item No.
Item No.
Price (US dollars)
Quantity
Price (US dollars)
Quantity
Price (US dollars)
Quantity
US dollars
All prices include shipping & handling
Shipping Information
Please note: For security reasons we do not hold your personal details on file. After your order is completed, this form will be shredded.
o Visa       o MasterCard
Security Code: (Last 3 numbers on back of card)
Expiry Date:
Thank you for your order. We will contact you by email (if you have provided an email address) to confirm that your order has been received. Please allow 2 to 4 weeks for your order to arrive. The time required depends on the complexity of the painting/s you have ordered and the time required by the carrier to deliver them.
X
$
Size (in inches)
Total to pay
Email  
First Name
Last Name
Address
City (or suburb)
State/Province
Zip/Post Code
Country
Phone including area code
Payment Information
Credit Card Type
Example: from the USA the complete Fax number would be: 011 61 3 9570 4655
$
Only use this order form if you do not wish to use the online order form. Please print this form, complete all information clearly and fax to the number below.
To use the secure online order form, there is a button called ‘Proceed to Checkout’ on every painting detail page (below the painting) which will take you to the secure online order form.
month
year
X
$
Size (in inches)
X
$
Size (in inches)
Card Number
Signature
Name on Card