Custom Art Request Form
Please share the following information with us. Note: We NEVER share your information with other businesses.

I would like the following colors:

Splashed of Red?** Yes No

**Note: unless otherwise indicated, red will be splashed onto all artwork.

Once the painting is complete, it can be purchased as one large frameable deckle-edged piece (mounted on black mat board) or it can be applied toward a number of cards. Cards can include quotes from the current catalog or special request (ie: your own words or phrase).

Please choose:

1 frameable piece
40 cards with the following words:
130 cards with the following words:

*please refer to the catalog for quote numbers (cut and paste) or use the following space to provide your own words.

Catalog Number:

Type Your Own Quote:

Type Your Own Speaker:

Contact information is required so that your order can be verified by Jamie.

First Name:

Last Name:

Address (Street) :

City:

State:

Zip:

Phone:

Email:

Best time to reach you :

Do you have any other notes about this special request?

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