Commission Form

Date______________
Name__________________________________________________________
Address________________________________________________________
Town_________________State___________Zip________Phone___________
E-Mail________________________________________________________


Would you like to receive our e-mail newsletter  Yes____No____

Special due date or rush order?_________________________

Memory Canvas Size  16x20_____18x24_______24x30_____
Memory Tray______Trunk_____Table_______Stained_____

Memories on a Shelf
________
List the ten favorite items for the shelf & include a few photos

Story Boards  
5x7_____8x10_______
List the ten favorite items of your life & personalization
________________________________________________
___
______________________________________________
_________________________________________________
Item
                                                                                       Price
___________________________________________$___________
___________________________________________$___________
__________________________________________  $___________
___________________________________________$___________
___________________________________________$___________
___________________________________________$___________
_______________________________________
$__________
_______________________________________
$__________
Spring design________________________
Winter Christmas design________________
Personalization
___________________________________________
______________________________________________
______________________________________________
______________________________________________


Black Gift Boxes
Hand painted with flowers, ribbon & gift card          $5____
Display Stands    Brass Display Stand                                                         $5____
                                                                        Sub total
$
_________
                                                  NC orders only Tax 8.00%
  $ _________

                               For you -   Reduced Shipping/Handling
  $_+
6.00_____       
                                                                                                                 
________

Forward check, money order or Visa/MC                  Total
   $__________

Visa/M/Card#   _______________________________________________________
Expiration  Date_____
__

Please Forward:
  • Print and mail the order form, photos, check, visa or M/C information to:
  • Seton's Specialties Box 336 Cary NC 27512  919-468-3111
  • E-mail photos to setonspecialties@aol.com
Please let use know if shipping to different address & gift card:________________________________________________
___________________________________________________

Studio pick up available, will call when ready  ___________

Prices subject to change without notice

All images sole property of Seton McGlennon, copyright 2008