Order Form for Art Studio Ambiantique
www.aryna.net
(805) 341-6825
(Please fill in a separate Order Form for every portrait)
Customer's full
name:
Street Address:
City:
State/Province:
Zip Code/Postal Zone:
Country:
Phone Number:
E-mail Address:
Portrait Specifications: (Please refer to our Price
List for details)
Medium (Paper or
Canvas):
Material (Dry Oil,
Watercolor, Oil, or Chalk):
Coloration (B&W,
Sepia, Color, or other*):
*Other Coloration:
Size (14"x20",
or 19"x26", or Custom*):
*Custom Size:
Content (Single Head Portrait, or Other*):
*Other Content:
For Custom specifications and other
comments, please provide as much information as possible.
We may contact you to clarify the details.

The section below will help us
identify the best painting style and technique for your portrait.
Please fill in this section after reviewing the samples on our website contained
in the Portrait Gallery.
1) Which portrait(s) was/were most appealing
to you? Please provide letter(s) and number code(s).
(example: BM1)
2) What in particular did you like about those portraits?

I affirm to commission a portrait with
the specifications provided above , and request
Art Studio Ambiantique to initiate work on my art project.
I understand that a hand painted portrait represents the artist's perception
and vision, thus it is a unique creation that cannot be measured by objective
measures.
I understand the terms and conditions
of this transaction and I agree to pay billed amount for the project.
Name:
Date:
Note:
When you click the SUBMIT ORDER FORM
button below, an E-Mail message containing the contents of the order form
(in computer code) will automatically appear. Before you send this E-Mail
message to us, you may wish to attach the image file(s) of the photograh(s)
that you will be mailing to us, along with a signed copy of this Order Form
(see "How to Order").
Date: ___________________________
Signature: ______________________________________________
--------------------------- Section
below to be filled out by Art Studio Ambiantique ---------------------------
Representative: _________________________________
Project price: ___________________________________
Shipping and Handling Fees: ______________________
Total Project Price: ______________________________
Date: __________________________________________
Signed by: ______________________________________
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