SECURE ORDER FORM
This form accepts orders and credit card numbers securely. For fax or mail orders, there is also a printable order form. Don't forget important fields like zip code, phone and email for the form to be processed properly. If you havn't yet recorded the item numbers and titles of the lithographs you want, go see the list of lithographs now.
  We accept:
   
  First and Last Name
 
  Address (space for different shipping address below)
 
  City State/Country   Zip Code
   
  Email Phone
 
No. Name of item (s) to order: Quantity Price Each Price
    subtotal:  
  California Residents add 7.75% tax Tax:  
  Shipping and Insurance: add $5.00 to all orders Shipping:  
  Orders with min. total of $100 take 20% off. TOTAL:  
  Credit Card Payments:
  Credit Card will be billed by "Western Trophy", a sister company.
 
: Visa : Mastercard 		Card Holder's name:

No:

Expiration:

Credit Card Billing Address' Zip Code:

    
   
  Additional Comments/Questions/Shipping Address if different: