Name

First Name

Last Name

Phone

(###)

###

####

What size and subject matter are you interested in??

You may select multiple options.

5x7 Pet Portrait

5x7 Person Portrait

5x7 Pet and Person Portrait

8x10 Pet Portrait

8x10 Person Portrait

8x10 Pet & Person Portrait

2x3 Person Portrait on Canvas Magnet

2x3 Pet Portrait on Canvas Magnet

Black and White (Ink)

Full Color

Special Color Scheme

8x10 Canvas

8x10 Paper

Will need to ship when it's done.

Can pick up locally once completed.

Multiple Paintings

Preferred Date of Completion *

refers to the date that you would need the product in your hands.

MM

DD

YYYY