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 approximately 24X24 or 24X36 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 PiecesPrice
B&W Photo/Art # Of PiecesPrice
Color Photo/Art # Of PiecesPrice


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 or money order. Fill out & Sign for Mastercard or Visa. order.

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.


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