Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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Series Preference

Size - H & W inches

Inspiration

Background - Colour & Style

Foreground - Colour & Style

Line - Colour & Style

Paintings of Interest

Framed

Raw Wood Floating

Black Floating

White Floating

Grey Floating

Unframed

Additional Information & Comments

Thank you! I’ll be in contact with you as soon as possible regarding your commission.

Commission Form