FAX & MAIL ORDER FORM

Kimberly Madson
Art & Design
737 Arroyo Way
Santa Maria, Ca 93455


Voice: 805-598-1516
Fax: 805-938-9282
Kmadsondesign4u@verizon.net


"In Spite of Fractures"
18x24 inches
open edition Giclée print on paper
includes certificate of authenticity
$140.00 + shipping & handling + sales tax (CA residents)

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"In Spite of Fractures"
16x20 inches
open edition Giclée print on paper
includes certificate of authenticity
$120.00 + shipping & handling + sales tax (CA residents)

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"Kimberly's Art Cards"
"Western Set"
Pack of 12 note cards and envelopes.
$17.95 + shipping & handling + sales tax (CA residents)
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"Kimberly's Art Cards"
"Watercolor Set"
Pack of 12 note cards and envelopes.
$17.95 + shipping & handling + sales tax (CA residents)
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"Kimberly's Art Cards"
"Poppies Set"
Pack of 12 note cards and envelopes.
$17.95 + shipping & handling + sales tax (CA residents)
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"Kimberly's Art Cards"
"Leaves Set"
Pack of 12 note cards and envelopes.
$17.95 + shipping & handling + sales tax (CA residents)
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"Kimberly's Art Cards"
"Four of a Kind"
Pack of 12 note cards and envelopes.
$17.95 + shipping & handling + sales tax (CA residents)
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"Kimberly's Art Cards"
"Graphic Girls Set"
Pack of 12 note cards and envelopes.
$17.95 + shipping & handling + sales tax (CA residents)
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"Baby Shoes"
8x8 inches
open edition Giclée print on paper
includes certificate of authenticity
$31.00 + shipping & handling + sales tax (CA residents)
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"Two Umbrellas"
8x8 inches
open edition Giclée print on paper
includes certificate of authenticity
$31.00 + shipping & handling + sales tax (CA residents)
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"Knowing God's Voice" (Close up)
8x10inches
open edition Giclée print on paper
includes certificate of authenticity
$39.00 + shipping & handling + sales tax (CA residents)
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"Mega Sue"
11 x 15 inches
open edition Giclée print on paper
includes certificate of authenticity
$125.00 + shipping & handling + sales tax (CA residents)
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"Katie"
11 x 14 inches
open edition Giclée print on paper
includes certificate of authenticity
$120.00 + shipping & handling + sales tax (CA residents)
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"Best of Show"
36x36 inches
open edition Giclée print on paper
includes certificate of authenticity
$570.00 + shipping & handling + sales tax (CA residents)
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"Jess"
18 x 24inches
open edition Giclée print on paper
includes certificate of authenticity
$170.00 + shipping & handling + sales tax (CA residents)
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"Jess Invert"
16 x20 inches
open edition Giclée print on paper
includes certificate of authenticity
$150.00 + shipping & handling + sales tax (CA residents)
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"Shea"
18 x 24inches
open edition Giclée print on paper
includes certificate of authenticity
$170.00 + shipping & handling + sales tax (CA residents)
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"Shea Invert"
16 x20 inches
open edition Giclée print on paper
includes certificate of authenticity
$150.00 + shipping & handling + sales tax (CA residents)
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"Blue Cross"
16 x20 inches
open edition Giclée print on paper
includes certificate of authenticity
$150.00 + shipping & handling + sales tax (CA residents)
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"The Feel of Autumn"
16 x20 inches
open edition Giclée print on paper
includes certificate of authenticity
$150.00 + shipping & handling + sales tax (CA residents)
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"Shirley"
16 x20 inches
open edition Giclée print on paper
includes certificate of authenticity
$150.00 + shipping & handling + sales tax (CA residents)
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"Flapper Girl"
16 x20 inches
open edition Giclée print on paper
includes certificate of authenticity
$150.00 + shipping & handling + sales tax (CA residents)
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"Break"
16 x20 inches
open edition Giclée print on paper
includes certificate of authenticity
$150.00 + shipping & handling + sales tax (CA residents)
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"Kmowing God's Voice"
8x8 inches
limited edition Lithograph print on paper
includes certificate of authenticity
$39.00 + shipping & handling + sales tax (CA residents)
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"Flower Chair"
11x20 inches
open edition Giclée print on paper
includes certificate of authenticity
$135.00 + shipping & handling + sales tax (CA residents)
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"Randi"
16 x20 inches
open edition Giclée print on paper
includes certificate of authenticity
$150.00 + shipping & handling + sales tax (CA residents)
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"Tony"
16 x20 inches
open edition Giclée print on paper
includes certificate of authenticity
$150.00 + shipping & handling + sales tax (CA residents)
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"Jester"
16 x20 inches
open edition Giclée print on paper
includes certificate of authenticity
$150.00 + shipping & handling + sales tax (CA residents)
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"Blackpowder"
11x15 inches
open edition Giclée print on paper
includes certificate of authenticity
$120.00 + shipping & handling + sales tax (CA residents)
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"God's Horse"
8x8 inches
open edition Giclée print on paper
includes certificate of authenticity
$31.00 + shipping & handling + sales tax (CA residents)
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"God Bless The Daddies"
11x14 inches
open edition Giclée print on paper
includes certificate of authenticity
$120.00 + shipping & handling + sales tax (CA residents)
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"Noah Sky"
11x14 inches
open edition Giclée print on paper
includes certificate of authenticity
$120.00 + shipping & handling + sales tax (CA residents)
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"Applique My Heart"
Choose from a variety of bears to sew on you next quilt..
Applique My Heart will help you make yours a family keepsake.
$14.95 each + shipping & handling + sales tax (CA residents)
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US Shipping and Handling:
$00-$50 = $7.50; $51-$100 = $12.50; $101-$299 = $20;
$300-$599 = $35; $600-$999 = $55; $1,000 and up = $75.
(for international shipping we will contact you with charges via email)
(includes insurance on $100 and up)
$__________


California Residents Sales Tax: 7.75%   $__________

Total: $__________

Date: _________

Name: ____________________________________________

Company Name: _______________________________________

Address: ________________________________________________

City, State, Zip or Country Code: __________________________

Country: _______________________________

Telephone (day): _________________________________________

Telephone (eve): _________________________________________

Fax: ________________________________________________

email: ____________________________

Shipping address: ________________________________________

(we take money orders, Pal Pal and personal checks.)

Purchaser's (CC) billing address: _________________________________
order form
(all orders are shipped within 3 weeks)

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