Artwork Purchase Order Form Name * First Name Last Name Email * Phone * (###) ### #### What would you like to Order? * INQUIRY ONLY "Blue Dancer" - $150 + tax "Encore" - $170 + tax "Lady in Blue" - $250 + tax "Eurydice" - $275 + tax "Round Up" - $250 + tax "Twilight Glow" - $275 + tax "Open Range" - $300 + tax "LOL" - $450 + tax "Quiet Reflections" - $300 + tax "She Walks in Colors" - $375 + tax "House Call" - $300 + tax Message * (Information for multiple orders or any details related to the order) Thank you!