Order Information:  

Ziemer Gallery Order Form / Limited Edition Prints:
    
Phone: 

(217) 762-9786
 

Print Title & Price

QTY:
 Unit Price

Extension
: 
 

 

Submit Button: Via E-mail or Print form and Send Via Mail To:

Ziemer Gallery
210 W. Washington
P.O. Box 265
Monticello, IL, 61856
 

 

       Sub Total
 

Packing/Insurance & Shipping (single print):

In the United States add $12.5

 S/H Cost:
 Email: ziemer@net66.com     Shipping: For Book only add $4.50  S/H Cost:
    Total Cost:
 

Terms and Conditions: 

Check, money order, Visa, MasterCard, Discover accepted. Prices are in U. S. dollars. Packing and shipping are extra. The seller arranges for packing, shipping & ins. Shipment will be made within 5 business days.

  Ship To: (Fill in the spaces)    
 

 Name

    
 

 Address
 

 City
 

State

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  Country

 United States    
   

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Shipping Information:

International orders will be billed actual shipping & applicable taxes.

Go to:

The Main Page

The Artist Page

The Gallery Page

The Original Paintings Page

The Limited Editions Page

The Monticello Limited Editions Page

The Cupola Series Page

The Lighthouse Collection

"A Journal for Nick"

  Billing Information: (Fill in the spaces)    
 

 

Type of Payment

 

    
 

 

 Cardholder Name

   
 

 

 

Credit Card #

If you do not wish to send credit card # info over the Internet, type "Call For" in the CC # space.

    
 

 

  Expiration Date

 

    
 

 

      
 

 
   

Wholesale Inquires are welcome.
If you have any questions, please email ziemer@net66.com.
Copyright 2004 Ziemer Gallery All rights reserved.