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Order Form

Order Form

Printable Order Form


Mail to:
Assonet Art
C/O Joseph Biszko
74 Forge Rd.
Assonet, MA 02702
Phone: 774-503-0749

SHIP TO ADDRESS:
Name ___________________________________________
         (First, Last, M.I.)
        ___________________________________________
         ( Street or P.O. Box )
         ___________________________________________
         ( City, State, Zip if USA)
          ___________________________________________
         ( Country & Mail Codes if overseas )
         ____________________________________________
         ( Daytime Telephone Number )
         ____________________________________________
         (email address-for confirmation of receipt)

ORDER DETAILS
TITLE QTY PRICE
=========================== ====== =========
______________________________ ______ __________
______________________________ ______ __________
______________________________ ______ __________
______________________________ ______ __________
Total enclosed (U.S. currency) $________________

METHOD OF PAYMENT:
Check-- Pay to the order of: Joseph Biszko (Checks are acceptable but may delay order for clearance)
Money Order (Immediate Shipment)

We also accept Paypal payments as a secure method of paying online using email address:
jmbiszko@assonetart.com

Return Policy:  If, for any reason, you are not satisfied, the print may be returned within
30 days of purchase for the purchase price. Please contact Assonet Art before returning
print.

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