First Name
Last Name
Shipping Address
City State Zip
Email
Phone
Fax
I would like more information regarding available paintings or prints.
I would like to purchase the painting(s) listed below.

*Sales Tax & Shipping will be computed upon receipt of your order. We will return email or fax the total to you.
Email Fax Phone my total to me.
Do Not process order until I have approved the Tax & Shipping charges.

Visa Master Card American Express Discover
Card Number Expires
Name on Card
Additional Comments:

The total can be billed to your credit card or
you can send check or money order to:
Melanee Sylvester Gallery
724 Main Street
Cambria, California 93428