| Prints of
paintings by Joe Soll |
| Your Name Mr. Mrs. Ms First: Last: |
| Street: Street 2 : |
| City: State/Prov.: Zip: Country: |
| Home Tel.: Bus. Tel.:
E-mail: |
| Confirm E-mail: |
| How did you hear about the art work? |
Payment Information
(Minimum Credit Card Order is $40)
Enter Quantity of Prints for each Print # you are ordering
1st Print is $40 USD including
S&H within the US
Each additional print is $35
including S&H within the US
| 1 2 3 4 5 6 7 8 |
| 9 10 11 12 13 14 15 16 |
| 17 18 19 20 21 22 |
| Total Amount of payment: Name on Card: |
|
Payment By: Card No. Card Exp Security
Code What is the security
code? |
| Comments (max 2,000 chars, aprox
200 words) |
You may also make your payment by faxing the information below
to: 845-267-2736,
or you may call 845-268-0283 and leave your credit card info on our
answering
machine,
or you may send the payment via US Mail.
If paying by check, make the check out to Adoption Crossroads, and mail to:
Adoption Crossroads
74 Lakewood Drive
Congers, NY 10920-1710
If paying by Credit Card, please include the following info:
Card Number, Name on Card, and the Expiration Date (Month and Year)
Please press the SEND button->
To get more information or to order by phone: call 845-268-0283
or send
E-mail to us at joesoll@earthlink.net
You are Visitor Number to
this page
Last Updated on August 31, 2004 by Joe Soll