Order Form

Fax your order to:

(866) 229-9029
E-mail: ChartArt@charter.net

Chart Art
2102 NE 100th ST
Seattle WA 98125-7624

Ship to:

Name __________________________________________________

Street __________________________________________________

_______________________________________________________

City ____________________________ State _____ Zip __________

Phone __________________________________________________

E-Mail __________________________________________________

Payment By:

Check # _____________ Amount Enclosed: ______________

Card Type: Visa ____ MC ____

Card # _____________________________________________

Exp. Date: ____________

Name on Card: ______________________________________

Card billing address/zipcode (if different than shipping) __________________________________________

Original Painting Orders:

Mail pictures and chart for background rolled in a tube - call for address

Instructions to the artist: _________________________________

____________________________________________________

Price List
Stock No.	Descriptions [Click below to see frame samples]	Price (each)
M11x14	11"x14" matted	$ 32.95
~~MF11x14~~	~~11"x14" matted and Standard Frame (1 1/2 - 2")~~ Unavailable until further notice	~~$ 59.95~~
CF11x14	11"x14" custom 2" wood Frame	$ 84.95
DF11x14	11"x14" custom 2" wood with solid brass corners Deluxe Frame	$ 109.95
M20x24	20"x24" matted	$ 84.95
CF20x24	20"x24" custom 2" wood Frame	$ 189.95
DF20x24	20"x24" custom 2" wood with solid brass corners Deluxe Frame	$ 219.95
OP30x36	30"x36" original painting [Provide an 8x10 color photo or color negative (no aerial photos) & the chart for the background]	$ 595.00

Order Form
STOCK NO. (above)	CODE from Samples page(s)	NAME OF PAINTING	QTY	PRICE EACH (above)	TOTAL PRICE










				Sub-Total
		Shipping & Handling - Add: 12 % of Sub-Total (minimum $6.00)
		Tax - WA residents only - Add: 8.8% of Sub-Total
				Total Due