the art of CHellman - request form

Order commissioned work, poster prints ($24.95), limited edition, signed and numbered lithographs ($3000 - $5000), originals ($10,000)

Any information you provide in this form will be kept strictly confidential with no exception.

Please check the items you wish to inquire about:

 
Bamboo1 by CJHellman, japanise ink drawing (sumi-e)
Bamboo1  
Gnarled Tree by CJHellman, japanise ink drawing (sumi-e)
Gnarled
Tree
 
Dragon Head by CJHellman, japanise ink drawing (sumi-e)
Dragon
Head
 
Cloud Mountain 1 by CJHellman, japanise ink drawing (sumi-e)
Cloud
Mountain1
 
Cloud Mountain 2 by CJHellman, japanise ink drawing (sumi-e)
Cloud
Mountain2
 
Cloud Mountain 3 by CJHellman, japanise ink drawing (sumi-e)
Cloud
Mountain3
 
SeaScape by CJHellman, japanise ink drawing (sumi-e)
SeaScape          
 
Please indicate your choice:

poster print ($24.95)

signed, numbered lithograph ($3000 to $5000)

original ($10,000)

 
I WISH TO
COMMISSION
A WORK
PLEASE DESCRIBE THE NATURE
OF THE COMMISSIONED WORK
YOU DESIRE.

 
 
BILLING INFORMATION
*PAYMENT CHOICE: ESCROW   CASHIER'S CHECK   MONEY ORDER
 
SHIPPING INFORMATION
Information you provide is kept strictly confidential.
*Recipients Name
*Street address
Address (cont.)
*City
*State/Province
*Zip/Postal code
*Country

PLEASE PROVIDE THE FOLLOWING CONTACT INFORMATION

*First name
Middle initial
*Last name
*E-mail
*Retype E-mail
Work Phone
Home Phone
FAX
 
Fill in this section only if the information is different than SHIPPING information
 
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country




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Last revised: March 04, 2001