Mail-in Order Form You are ordering directly from the artist. Use your browser's Print button or File menu to print this form, and mail with your check or money order to the artist at the following address: Diana Ludwig H.C.1 Box 169, Clarington, Website: www.dianaludwig.com Pennsylvania USA 15828 330-530-2659 Email: diwigy2@yahoo.com Ship to: Name:________________________________________ Phone: (_______)________________ Address:______________________________________ No PO Boxes please! City:__________________________________________ State:___________________ Zip:__________ E-Mail:_______________________________ Items Ordered: Qty Title Description Price Shipping ____ ____________________ _______________________ $___________ $________ ____________________ _______________________ ____ ____________________ _______________________ $___________ $_________ ____________________ _______________________ ____ ____________________ ______________________ $___________ $_________ ____________________ ______________________ Shipping charges apply to continental USA only. For foreign shipments or where shipping & handling charges are not given, please ask the artist. Make check payable to the artist. Subtotals: $____________ $_________ Shipping: $____________ OrderTotal: $____________ Diana Ludwig 2411 Belltown Road Clarington, PA 15828 330-530-2659 diwigy2@yahoo.com www.dianaludwig.com