
To order by mail: Please print this page out, fill in the form and send with cheque, money order or credit card number to...
Troy White
C.P. 42 Chuy, Rocha Uruguay
ORDER FORM Order Date:________________________
Please enter my order for _______ copies of (name of product here):_________________________
_______ copies of (name of product here):_________________________
If ordering limited edition prints, please
circle one:
Regular Edition Artist Proof Remarque Edition
Total price of products ordered: $ ___________
Shipping : $____________
Order Total : $____________ (Include total + shipping here)
Payment Method
Cheque Money Order
Visa Mastercard
Please make check or money orders (US
Dollars)* payable to "Troy White"
Credit Card #____________________________________Exp____/_____
Name: ____________________________________________________________________________
Business Name (if applicable): ________________________________________________________
Shipping Address:___________________________________________________________________
State:__________ Zip:___________City:_____________________ Country:____________________
Phone Number:________________________ FAX Number:__________________________________
e-mail address :______________________________________________________________________
Mailing Address (if different than Shipping):______________________________________________
State:__________ Zip:___________City:_____________________ Country:_____________________
Additional Comments or Special Requests: _______________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Upon receipt of your order we will acknowledge it via email if an email address is supplied.
All Artwork, text, photographs and graphics on the pages of this website, except where otherwise noted, are copyrighted by Stardust Studios. No copyrighted material appearing on this website may be reproduced in whole or in part by any means, including, but not limited to, electronic or printed, without the knowledge, permission and express written consent of Susan White or Troy White, Stardust Studios.
Copyright © 2005 by Stardust Studios.
All rights reserved.
Revised: 28 Oct 2009.
e-mail: Webmaster@starduststudios.com.