Cryan Studio Art Order Form
P.O. Box 204 Centerbrook, CT 06409
Tel. (860) 388-3769 Fax (860) 388-3203

By fax: Print this form and fax to (860) 388-3203. (credit card orders only)
By mail: Print this form (credit card, check or money order) and mail to address above.

Name____________________________________________________________________________

Address__________________________________________________________________________  
Address__________________________________________________________________________  
City_______________________________________________________ State/Prv._____________  Zip___________
Phone_____________________________________________________ Country____________  
E-Mail__________________________________________________________________________  


  QTY.

  Item #
    PR/EA  Shipping
         
   CS0101 Griswold Inn 16" X 20" $60.00  $9.95
   CS0102 Pier 14 16" X 20"

 $60.00

 $9.95
   CS0103 Allstar 16" X 20"

 $60.00

 $9.95
   CS0104 Dragon Cup 20" X 16"

$35.00

 $9.95
   CS0105 Flying Yankee 16" X 20"

 $50.00

 $9.95
   CS0106 Long Island Tugs 11" X 17" $60.00  $9.95
   CS0107 Lynde Light 16" X 20"  $30.00  $9.95
   CS0108 Hellgate 16" X 20"  $60.00  $9.95
   CS0109 Cedar Hill 16" X 20"  $60.00  $9.95
   CS0110 N.Y.C. Tugs 11" X 14"  $60.00  $9.95
   CS0111 Pennsy Q2 11" X 17"  $30.00  $9.95
   CS0112 New York Central 31 16" X 20"  $50.00  $9.95
         
     TOTAL MERCHANDISE    
     SALES TAX 6% (CT RESIDENTS ONLY)    
     SHIPPING    
     TOTAL ORDER:    

All prices U.S. Dollars. Shipping and taxes will be higher beyond the United States. Enclose check or money order payable to "Fabric Workshop" or provide the following for credit card payment:

Mastercard [   ]  Visa [   ]  American Express [   ]
 Card Number_____________________________________________________  Exp.___________
 Signature________________________________________________________  
©Copyright 2009 Fabric Workshop
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