Watercolors by Stephanie Mirocha

ORDER FORM

Please print out this order form, complete it and mail with check or money order made out to Otter Creations.  For any questions please contact us at ottercreations@stephaniemirocha.com or 218-927-3377.

Name:  ____________________________  Date:  ___________

Address:  ____________________________________________

City:  ________________  State:  ______ Zip Code:  _________

email:  ________________________

Gallery Prints:
Note:  We will choose mat color unless preference is stated.

Qty.

Title of Print 

Price

Text Box: < $19.99
$2.50
$20.00 - $59.99
$5.95
>60.00
$7.95
Total Price

 

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

       
       
       

Subtotal: $___________

Sales Tax (x .065, MN only):                         

Shipping and Handling (see box to left):  ___________

TOTAL COST ENCLOSED:  $__________