Luke Barker - Artist - Online Order Form

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for specific information on the painting you are interested in purchasing
without losing any information already entered here.

ONLINE ORDER FORM

Your Information

Your Name	Date

Street Address	E-Mail Address

City, State, Zip	Area Code + Phone #

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Order Information

Please indicate which painting you are interested in purchasing:

Type of Medium:	Original or Print?:

Please Enter Any Comments Here



Thank you for filling out this Online Order Form. I will be contacting you via your method of choice within 72 hours to make payment and shipping arrangements. Thank you for showing an interest in my work - I will be in touch soon.