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Order Form
Printable Order Form
Mail to:
Assonet Art
C/O Joseph Biszko
74 Forge Rd.
Assonet, MA 02702
Phone: 774-
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-
ORDER DETAILS
TITLE QTY PRICE
=========================== ====== =========
______________________________ ______ __________
______________________________ ______ __________
______________________________ ______ __________
______________________________ ______ __________
Total enclosed (U.S. currency) $________________
METHOD OF PAYMENT:
Check-
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.