Billing name and address:

Name/Company: ______________________________________
Address : ________________________________________
City : ________________________ State : _______ Zip : _____________
Phone : ______________ Fax : ______________ Email : _____________
Resale # : _________________

Shipping name and address (if different from billing information above):

Name/Company: ______________________________________
Address : ____________________________________________
City : ________________________ State : _______ Zip : _____________
Phone : ______________ Fax : ______________ Email : _____________

For office use only: Order # : ___________ Date : ___________

Item number	Description (Artist, Title, Medium)	Qty.	Amount
Subtotal
Volume discount: subtract 5% for two prints purchased, subtract 10% for three or more prints purchased
Subtotal
California residents add 8% sales tax
Shipping & Handling			$15.00
Total

Payment Enclosed: __Credit card __Money Order __Check

Credit card number __________________ Expiration date______ Signature__________________________

You may mail order form to:
PASSION PUBLISHING
15468 Kavin Lane
Monte Sereno, CA 95030

You may fax order form to:
Fax.: (408) 402-9887