Carolina Art Gallery Home

There are THREE 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 3317 Hawthorne Road,  Rocky Mount, NC 27804
   

(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: