Nature's Images *** Order Form

Dick Petrie
232 Village Run Road
Boswell, PA 15531
Telephone: 412-874-0750

Order Form
Please print out this form, fill in necessary information and mail with your check or money order.
Add 6% sales tax if ordered from Pennsylvania counties except Allegheny County;
Add 7% sales tax if ordered from Allegheny County, Pennsylvania.
Prices do not include shipping, handling or applicable sales tax.

Customer Name_____________________________                    Date__________________
Address_______________________ City____________   State____ ZIP__________

Telephone: (      ) ____________________E-Mail Address: __________________________

Catalog #	Matte Size	Matte Cost	Frame/Glass Cost	Quantity	Total
					$
					$
					$
					$
					$
				PA Sales Tax (See Instructions)	$
				Total	$
Customer's Signature:

Thank You!