Purchase Order Form

PRODUCT SELECTION

Select your item from the scrolling price sheet and insert product information.

(QUANTITY =Total for each catalog item) (PRICE = Each)  (CATALOG# = Complete number as shown) (MEDIUM = Reproduction, Limited Print, Print, Poster) (NAME = Painting name)

 

Current CFA Specials
QTY PRICE CATALOG # MEDIUM NAME

HOW DID YOU FIND US?: 

How our customers find us helps us to improve our services and thank our link partners. Thank you.

Drop List

List Site or Description

EXISTING ACCOUNTS
Customer #

Vendors

 

PURCHASER INFORMATION

First Name

   Required

Last Name

   Required

Company

   Gallery / Vendor

Street Address

   Required

Address (cont.)

  

City

   Required

State

   Required

Zip/Postal Code

   Required

Country

  

Contact Phone

   Required

FAX

   Optional

E-mail

   Required (order verification)

URL

   Gallery / Vendors
   

If we need to contact you concerning your order. Indicate best date and/or time.

 

SELECT  PAYMENT
 

Make checks payable to: Cowboy Fine Art Inc.  For certified check payment. Print form and mail with check to Cowboy Fine Art, Inc. PO Box 1540, Pismo Beach CA 93448. 

 

CREDIT CARD INFORMATION

Credit Card Type

Credit Card Number

Security Code

3-5 Digit Code

Expiration Date

  
    Card Holder information same as Purchaser  

Card Holder

 

Billing Address

City

State

Zip Code

 

SHIPPING INFORMATION

 

 New Shipping Address

City

State

Zip Code

Delivery Instructions

Select Method of Shipment:

  

 

   I have read and accept "Terms of Sale" & Privacy Policy. Required to process order.
In the event of an error message and upon returning to form, your information has been reset or erased, please use your browsers "Back" feature to return to your information.
       
Copyright © 2005 Ralph Delby / Cowboy Fine Art Inc. All rights reserved.
Revised: 09/18/06