Kaye York
Heartland Studio - Cambridge, ID 83610
E-mail: info@kayeyork.com - (208) 257-3277, Fax (208) 257-3377

Name:                                                                               Date:                   
Address:                                                                                                       
City/State/Zip:                                                          Phone:                           
E-mail address:                                                                                              

Order Form
(Attach additional sheet, if necessary.)
v1.1

A. Use this section to order Prints.


Item#

Description
(title of image)

5x7
w/mat
$10

5x7
canvas
$20

8x10
canvas
$45

9x12
canvas
$65

12x16
canvas
$95


Total

               
               
               
               
               

A: Total Cost of Prints Ordered 
(Enter amount here and in “Finalize Order”)

$

B. Use this section to order Greeting Card & Note Card packs. Pack = 8 cards

For One-Design Packs   Enter the Item# for the image you desire.

For Assortment Packs  Enter the Item # for each image you want in the card pack.
(8 images per pack)

No. of Note Card Packs
@ $12

No. of Greeting Card Packs
@ $20


Total

         
         
         
         
         
         
         
         

B: Total Cost of Card Packs Ordered 
(Enter amount here and in “Finalize Order”)

$  

 

C. Use this section to order note pads, calendars, and journals.

Item # of desired image

Description –
(title of your image)

Calendar
$5

NotePad
$5

Journal
$10

Total

           
           
           
           

C: Total Cost of Other Items Ordered
(Enter amount here and in “Finalize Order”)

$


FINALIZE ORDER:


Shipping & Handling
:

Up to $10--------------$4.00
$10.01 - $25.00--------$6.00
$25.01 - $50.00--------$7.00
$50.01 - $100.00-------$9.00
Over $100 ------------$11.00

A: Total Cost of Prints Ordered:

$

B: Total Cost of Cards, etc. Ordered:

$

C: Total Cost of Other Items Ordered:

$

Subtotal:

$

Idaho residents add 6% Sales Tax:

$

Shipping & Handling (from table at left):

$

ORDER TOTAL (US dollars):

$


PAYMENT INFORMATION:

¨      Check or money order made payable to KAYE YORK.
¨  Visa    ¨ Mastercard    ¨ Discover    ¨ American Express

Account Number:

Card

Month  -  Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Expires:

 

 

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Signature                                                                                  

Mail completed order form with payment (US dollars) to:                 
Kaye York
Heartland Studio
PO Box 57
Cambridge ID 83610

or Phone (208) 257-3277, Fax (208) 257-3377
Mon – Sat, 10 am – 8 pm Mountain Time

   Thank you for your Order!  Kaye