Carolina Art Gallery Home

There are FOUR WAYS to place an order:

 
1. Fill out the form below and click on SUBMIT - A valid email address MUST BE ENTERED
2. CALL  252-443-4994  to place an order
3. Fill out the form below, PRINT it out and mail to 115 S. Church Street,  Rocky Mount, NC 27804
4. Fill out the form below, PRINT it out and FAX to  252-451-5427

(I will be glad to add a personal note on the bottom margin of your print)

Order Form
* Email Address:   
Name:   
Shipping Address :   
City:   
State:  
Zip:  
Phone:  

Item # Title of Work Price
$
$
$
$
$
$

Sub Total of Paintings Ordered:

$

Shipping Cost: add 10% of Order Total ($9 minimum)

$

Ship Flat? add $7

$

North Carolina 6.75% Sales Tax (if Shipped to a NC Address)

$

TOTAL AMOUNT DUE:

$
Method of Payment: Check (Mail only)

                                 Credit Card  (Visa, Mastercard, Discover ONLY)

Exact Name on Card:   

Credit Card Number:    

3 Digit Securecode  (located on back of card)  

Expiration Date:   Total Amount Charged: $  

Mailing Address of Credit Card if different from above shipping address        

Re-type your Email address as confirmation of your on line order: