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Use this form if making a Heritage Decor™ print order. The form must accompany your materials for placing an order or a request for a quote. You may print the form and send with your materials, or convert to pdf and send as an email attachment. |
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| 3925 Deep Rock Road, Richmond, VA 23233 TEL: 804-747-8271 - FAX 804-747-8322 Toll Free: 1-800-260-1948 |
Contact Name: __________________________________________________________
Company:______________________________________________________________
Address:_______________________________________________________________
City:__________________________________________ State:_______ Zip:_________
Country:_______________________________________________________________
Telephone:____________________________ Alternate Phone:____________________
Email:________________________________ Fax:_____________________________
Resale#_____________________________ (if applicable)
Title of Artwork:________________________________________________________
Submitted as: ___Original Artwork
___ Digital File___4"x5" transparency, ___8" x
10" transparency,
Indicate paper or canvas:__________________________________________________
Final image dimensions
desired:_____________________________________________
Margins for paper:_______________________________________________________
Margins for canvas:__________________________/(color)______________________
Stretcher bar depth: (5/8" standard)_____ / (1.5" museum wrap)______
Print Quantity:__________________________________________________________
Remove Signature: Y__ N__
Special Instructions:______________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Payment Terms:
Payment in full must be received with your order. We accept
Visa, MasterCard, AMEX, Discover personal checks and money
orders. Finished work is usually shipped via
FedEx.
Make all checks payable to: Staples Fine Art, Inc. or provide
credit card information below.
__Visa __MasterCard
#__AMEX#__________________________________ Expiration____________
Card Holders Name:_________________________________________________________________
Limits of Liability:
Submission of any materials such as film, photos, digital
files or original artwork to Staples Fine Art constitutes
an agreement by the client that any damage or loss incurred will only entitle
the client to replacement with a like
amount of raw materials, unexposed film, or digital media. Except for said replacement,
our acceptance of the
artists images and materials is without warranty or liability.
_______________________________________ _______________
Artists Signature & Date: (required)