Order - Original Art by Teri BennettPlease print out this order form and send
Check,
Money Order, or
Visa Number to ...
Teri Bennett Simply Different
PO Box 184
Excelsior, MN 55331
_________________________________________________ _________
Visa number

Exp Date
Every Purchase Makes A DifferenceA portion of all proceeds from my original art, lithographs, note cards
and calendars are being donated to The Hope Chest for Breast Cancer.
THANK YOU!
| Quantity |
Note Cards
|
Each
|
Total |
|
"In Memory of Shelly" Note Cards
|
$20 + T+S*
|
$23
|
|
|
"Bella Piano" Note Cards
|
$20 + T+S*
|
$23
|
|
|
"Charlie's Lady In Red" Note Cards
|
$20 + T+S*
|
$23
|
|
|
Calendars
|
|
|
|
2005 Calendar small
|
$15 + T+S*
|
$18
|
|
|
2005 Calendar regular
|
$20 + T+S*
|
$23
|
|
|
Signed and Numbered Lithographs:
|
|
|
|
Bella Piano 24 x 29
|
$200 + T+S*
|
$218
|
|
|
Charlie's Lady In Red 24 x 37
|
$200 + T+S*
|
$218
|
|
|
Abbie Hart 24 x 24
|
$200 + T+S*
|
$218
|
|
|
TOTAL:
|
|
*Tax and Shipping, Calendars and Note Cards - $3, Lithographs - $18