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Drawing
Painting
Size:
9" x 12"
12" x 16"
16" x 20"
18" x 24"
24" x 36"
36" x 48"
Number of
people/subjects:
1
2
3
4
5
From photo
From life (in Winnipeg only)
Contact information:
First name:
Last name:
Address line one:
Address line two:
City:
Province/State:
MB
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NJ
NH
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Postal/Zip code:
Country:
Canada
United States
E-mail:
Phone:
Cell:
Fax:
Shipping method:
Canada Post Express Mail
Delivery (in Winnipeg only)
Shipping address:
Same as contact address
Different:
Payment method:
Credit Card
Cheque / Money order
Money transfer
Cash (in Winnipeg only)
Notes: