Faith Ringgold - Poster Order Form

If One Can Anyone Can
All you Gotta Do Is Try

Poster Order Form

Posters of images on this web site are available for $15.00 - $20.00 each. All orders are filled on a prepayment basis only. Sorry no returns or refunds. Allow 4 to 6 weeks for delivery. Please complete each section of the form, print it out, and send it along with your payment by American Express, Mastercard, Visa, certified check or money order for the total to: Faith Ringgold Posters, P.O. Box 429, Englewood, New Jersey 07631. Call 858-576-0397 phone/fax with any questions or email Grace Welty.

Poster Order Form: Part 1 - Poster Request
Reference Number:	Title:(Click on Titles to view images)	Dimensions:	Unit Price:	Amount:	Sub Total:
WC/Q97	Picnic on the Grass... Alone	28 x 22"	$15 x
WC/Q53	Church Picnic	33 x 33"	$20 x
WC/Q67	Dancing at the Louvre	28.5 x 22.5"	$15 x
WC/Q87	A Family Portrait	28 x 22"	$15 x
WC/Q16	Groovin High	22 x 28"	$15 x
WC/Q96	Listen to the Trees	28 x 22"	$15 x
WC/Q72	Matisse's Chapel	28.5 x 22.5"	$15 x
WC/Q70	The Sunflower Quilting Bee at Arles	28.5 x 22.5"	$15 x
WC/Q57	Tar Beach	28 x 22"	$15 x
WC/QE1	Tar Beach 2	28 x 22"	$15 x
WC/Q50	The Homecoming	22 x 28"	$15 x
WC/Q95	Wanted: Douglas, Tubman and Truth	22 x 28"	$15 x

Poster Order Form: Part 2 - Billing Instructions
Sub Total Amount:
Add applicable sales tax for NY and NJ only:
Add Shipping & handling: 1-10 posters $15, 10-20 posters $30
Grand Total:

Poster Order Form: Part 3 - Contact Information

Name:

Organization:

Street Address:

City:

State/Province:

Postal Code:

Country:

Telephone:

Fax:

Email Address:

Poster Order Form: Part 4 - Select Payment Method

Payment Type

Name on Credit Card

Credit Card Number

Expiration Date

Amount Authorized:

Cerified Check Enclosed

Money Order Enclosed

Signature:

Date: