Elephant Painting &Tee Shirts Order Form 2006
Hollywood Animals is donating 10 % of all proceeds to the victims of Hurricane Katrina

Directions Print this form and fill it out (clearly) Mail or Fax your order to Hollywood Animals 4103 Holly Knoll Dr. Los Angeles CA 90027 Fax 323-665-9200 If you fax please mail the original order as we must have that before we mail the painting

Each painting is an original and comes with a certificate of authenticity and a photo of Nellie's finishing trunk touches. As the painting orders are in high demand delivery can take up to 3 weeks. If you need the painting in a rush see below
This is a gift Yes _     No _                       Ship to purchaser:Yes _    No _
Your Name: elephant paintings
Addresselephant
Cityart State Zip
Hm Tel ***Email Address
Order

_______ Painting(s) @ $60.00/eachart elephant

$ _____________

IF PURCHASING A GIFT CARD:
 Gift card for:
_______ T-Shirts @ $ 25.00 each   Size _______hollywood animals
elephant art
$ _____________
 
Personalize Gift Card from Nellie @ $15.00 (optional)
Click here to see card paints

$ _____________
Occasion:
Sub Total

$ _____________
 
CA residents - 8.25% sales tax
International Credit Card Charges add 2.5 %
$ _____________
US ONLY Shipping & Handling @ $ 9.95 per painting / T-shirtartistEmail for overseas shipping costs
$ _____________
For rush delivery in USA only $35
Guarantied in 5 Business days from receipt of order
$ _____________
nellie the elephantTotal
$ _____________
I wish to pay by Visa ___ MasterCard ___ Check ____ Check Nonellie paintsTotal Amount to Charge $___________ Please add 2.5 % for international credit card charges
BILLING
Name as it appears on the credit cardpaintings elephant Billing Address same as shipping
Billing Addresslso angeles
City State Zip
Credit Card No
__ elephant encounters__ __ ______ ______ ______ ____ ____                      Exp. Date
I, understand and agree to have my credit card charged for service / products contracted with Hollywood Animals, Inc. I promise to pay subject to and in accordance with the agreement governing the use such card. I, the undersigned certify under the penalty of perjury that the information on this order is correct and I am the owner of the credit card listed above.
Credit Card Holder (Sign Name) credit cardDate
SHIPPING INFORMATION                           Check here if it is the same as the Billing Address _____
Ship To ___Same as above
Address
City State Zip
Tel or Email: