Order Form for Songer Prints

To order, print out this page and fill in the information requested. Send the order form and a check for the total amount to:

Steve Songer Studio P.O. Box 175 Huntsville, UT 84317

If you have any questions, you can email steve@songerfamily.com or phone (801) 745-3826

Ship to:	___________________________________________________
	Name
______________	___________________________________________________
Date Ordered	Street Address
______________	___________________________________________________
Telephone (include area code)	City	State	Zip Code

	Quantity	Title	Size	Price	Total
Giclée Prints
	_______	Main Street Evening	24"x36"	$650.00	_________
	_______	Patio Pots	_________	_________	_________
	_______	Polperro Harbor	_________	_________	_________
	_______	The Potting Shed	_________	_________	_________
	_______	St. Charles	_________	_________	_________
	_______	Still Life with White Pitcher	_________	_________	_________
	_______	Sunrise	_________	_________	_________
	_______	White Nocturne	_________	_________	_________
Limited Edition Prints
	_______	Farm Patchwork	33"x26"	$85.00	_________
	_______	Farmington Road	24"x20"	$85.00	_________
	_______	River Garden	24"x20"	$85.00	_________
	_______	Hollyhocks (Artist Proof)	19"x26"	$95.00	_________
Open Edition Prints
	_______	The Arbor	35"x27"	$50.00	_________
	_______	Cache Valley	21"x16"	$25.00	_________
	_______	Lake View	35"x27"	$50.00	_________
	_______	Old Huntsville	21"x19"	$35.00	_________
	_______	Rocky Coast	35"x27"	$50.00	_________
			Utah Sales Tax 6.5% (If Applicable)		_________
			Shipping and Handling (Up to 5 prints)		__$18.00__
			Total		_________