(Print this form out and mail it to me at the address below)

ORDER FORM 

Yes, I would like to purchase a LIMITED EDITION print. I understand that my copy will be one of only 100 offered and that the image is a cibachrome or high glossy unframed photographic print signed and numbered by the artist, matted/mounted using museum-quality acid-free mats and foamcore. Make my print(s) a:

11" x 14" Cost $125.00 (quantity)

16" x 20" Cost $195.00 (quantity)

20"x 24" Cost $245.00 (quantity)

Name: _____________________________________

Zip or Postal Code: ____________________

Make check or money order payable to: Paulette Robinett.

Name of Print desired:

Number of Print: DHP-____________________.

Type of Print desired (high glossy or cibachrome):

NOTE: Send a copy of this order form with check or money order to

Please allow 3 to 6 weeks after order arrives in Atlanta for processing and delivery.