Old World Originals

Purchasing Information

Old World Originals - Fine Art Prints
Purchase Order Form
Old World Originals
30150 Chalet Circle.
Pine, CO 80470
Questions? Email Us!
FAX Order Form To: 303 816 1227

Ordered by:

Name

Address

City/State/Zip

Area Code/Phone or FAX

Email

Unless otherwise noted, all prints measure 11" X 17" and Cost $40/ea

Item # Quantity Description Total

Payment Method - Check One

Check#

MasterCard
or
VISA Card #:

Exp.Date: mm/yy

Delivery Charges - US only

SUBTOTAL

CO residents add 5.1%

Up to $40 $6.95
Shipping/Handling
(see chart)

$41-74.99 $7.95

$75-99.99 $8.45
TOTAL

$100-199.99 $11.95

To Order, Please Print and Mail or Fax this Form

FAX: 303 816 1227

Mail: Old World Originals
30150 Chalet Circle
Pine, CO 80470

Please allow 7-10 days for processing and delivery