Commission Form
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
___________________________________________$___________
Town_________________State___________Zip________Phone___________
E-Mail________________________________________________________
Would you like to receive our e-mail newsletter Yes____No____
Special due date or rush order?_________________________
Memory Canvas Size 16x20_____18x24_______24x30_____
Memory Tray______Trunk_____Table_______Stained_____
Memories on a Shelf ________
List the ten favorite items for the shelf & include a few photos
Story Boards 5x7_____8x10_______
List the ten favorite items of your life & personalization
________________________________________________
_________________________________________________
_________________________________________________
Item Price
___________________________________________$___________
___________________________________________$___________
__________________________________________ $___________
___________________________________________$___________
___________________________________________$___________
___________________________________________$___________
_______________________________________$__________
_______________________________________$__________
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_______
Studio pick up available, will call when ready ___________
Prices subject to change without notice
__________________________________________ $___________
___________________________________________$___________
___________________________________________$___________
___________________________________________$___________
_______________________________________$__________
_______________________________________$__________
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
___________________________________________________
Studio pick up available, will call when ready ___________
Prices subject to change without notice
All images sole property of Seton McGlennon, copyright 2008