Orren Mixer Artwork Prints Official Pinto Print – 24”x 20” Artist Proof – signed and numbered 1-200 Limited Edition Print – signed and numbered 1-750 Poster Print Dreams Come True – 20”x 24” Artist Proof – signed and numbered 1-200 Limited Edition Print – signed and numbered 1-750 Poster Print
Quantity:_______ x $150 =________ Quantity:_______ x $100 =________ Quantity:_______ x $10 =________ Quantity:_______ x $150 =________ Quantity:_______ x $100 =________ Quantity:_______ x $10 =________
Proceeds from the sale of all Orren Mixer merchandise goes to the Orren Mixer Scholarship Fund.
A. Dreams Come True
B. Official Pinto Print C.
Note Card with envelopes- 6.5” x 5”
A. Quantity:_______
D.
Note Cards with envelopes – 6” x 4.5” B. Quantity:_______ E. Quantity:______ C. Quantity:_______ F. Quantity:_______ D. Quantity:_______ G. Quantity:_______
E.
Post Cards
H.
Quantity:_______ I.
F.
Quantity:_______
Subtotal
Total Print: Total Note Card Quantity:_________ x 50¢ Total Post Card Quantity:__________ x 50¢
$________ $________ $________
G.
Shipping
+ $15 +5 $________
Artist Proof or Limited Edition Print (priority mail) Poster Print Cards: 1-4 is 59¢, 5-9 is $1.50, 10-20 is $2.50 US Funds only or International Postal Money Order.
Total
H.
$ ______
Payment Information Name:_____________________________________________________________ Address:___________________________________________________________ ___________________________________________________________________
I.
City:_______________________________________________________________ State:___________________________________ Zip:________ Country:_______ Phone:____________________________________________________________
MasterCard
Discover Card
Visa
American Express
Card No.:__________________________________________________________ Exp. Date:__________________________________________________________ Name on Card:____________________________________________________ Signature:__________________________________________________________
12 • PINTO HORSE ONLINE • FALL 2011 2013
Send check, money order or credit card payment to: PtHA, 7330 NW 23rd St, Bethany, OK 73008-5134 This form can be downloaded from www.pinto.org.