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: _______________________________________________

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Upon receipt of your order we will acknowledge it via email if an email address is supplied.

info@starduststudios.com

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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.

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