Lasky Photographic Artwork Order form

Please print this order form, fill it out and mail it to:

Bob Lasky Photographic Art
1543 NE 123rd street
Miami, FL 33161
(305) 891-0550

Name Date

Address

City State Zip

Phone Fax D.O.B .

E-Mail

Other Phone

All pieces are approximately16 x 20 images depending on crop.

All pieces are limited additions (200 per piece), signed & numbered.

The cost is listed per image plus Postage/Handling.

Florida residents please add 7% sales tax.

Make all checks & money orders payable to Photography By Lasky.

Photo/Airbrush: # Of Pieces Price
Options:

Butterfly Lady Bobbie Cat Face In The Clouds

Vegetarian H/C Vegetarian

B&W Photo/Art:  # Of Pieces Price
Options:

Flamingo Flight Stairway To Heaven Castle In The Sky Anika

Tigers At Rest Freedom Florida Palms Bathing Zipper Miami Skyline

Color Photo/Art: # Of Pieces Price
Options:

Sax at Sunset Pears, Apples & Lemons Buddies Future Buddies Skazoom Sanibel Sunset Sailboat Sailboat at Night Sailboat Digitized Nesting Harlem

Throught The Trees Oh Deer Jumboface Gorilla Sunflower Tigers Orange Doors Wagon Wheel Baskets Lantern Barrel & Brook

Total Number Of Art Pieces

Sub-Total Price+7% tax (Florida Res only)

Postage & Handling ($12.00 per item)

Total Price:

MasterCard/Visa # Expiration Date:

Signature

Print this order form and send it with your order.

Enclose check, money order or fill out & sign for Mastercard or Visa orders.

Make checks payable to Photography By Lasky.

Allow 4-6 weeks for delivery. Delivery by UPS.

Please use an address that UPS will deliver to & obtain signature.