Full name: _____________________________________________________


Address line one: ________________________________________________


Address line two: ________________________________________________


City: _________________________ State:________________ Zip:__________


Write poster numbers:______________________________________________


For one poster - $9.99 ______________________


For two or more posters $8.99 each _________________ (write in $ amount)


Shipping and handling $3.00


Total amount included: $__________________


Signature: _____________________


Mail this form in with your payment to:

Fausto's Art Gallery
POB 470
Presidio Texas 79845

Payment can be cash, money order, check. Do not send credit card numbers!