Date............................. ANNEMIEKE MEIN O.A.M.
PO BOX 1444
SALE
VICTORIA 3850
AUSTRALIA
ORDER FORM ABN 73 933 995 077
Address of Buyer ..........................................................................................
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Email ...................................................................................... Phone .................................................
| Number |
Limited Edition Prints |
Unit Price |
Total Price |
| |
|
$ |
$ |
| ............ |
SPLASH! |
145.00 |
............... |
| ............ |
SEA GAR |
145.00 |
............... |
| ............ |
THORNBILLS (Artist's proof only)* |
145.00 |
............... |
| |
|
|
|
| |
Notelet Cards (with envelopes) |
|
|
| ............ |
DE LAPJES (Butterfly) |
2.50 |
............... |
| ............ |
DIVING BLUE-BILLED DUCK |
2.50 |
............... |
| ............ |
EUCALYPT BLOSSOMS |
2.50 |
............... |
| ............ |
HERE SHE COMES! (Wren family) |
2.50 |
............... |
| ............ |
THORNBILLS (Landscape view) |
2.50 |
............... |
| ............ |
WHIRLPOOL FROG |
2.50 |
............... |
| ............ |
SPLASH! (Frog) |
2.50 |
............... |
| ............ |
MATING MYTHICAL MOTHS |
2.50 |
............... |
| ............ |
DRAGONFLIES |
2.50 |
............... |
| ............ |
FROG DOWN UNDER |
2.50 |
............... |
| ............ |
HERE HE COMES! (Blue Wrens) |
2.50 |
............... |
| ............ |
INSIDE LOOKING OUT (Butterflies) |
2.50 |
............... |
| ............ |
SNAKE-NECKED TORTOISE |
2.50 |
............... |
| ............ |
INVASION (Blowflies) |
2.50 |
............... |
| ............ |
THORNBILLS (Portrait view) |
2.50 |
............... |
| ............ |
AGAINST THE TIDE (King George Whiting) |
2.50 |
............... |
| ............ |
LEWIN HONEYEATER NESTLINGS |
2.50 |
............... |
| ............ |
SEA GAR (Garfish) |
2.50 |
............... |
| ............ |
SHY (Weebill Chick) |
2.50 |
............... |
| |
|
Postage |
............... |
| |
|
Total |
............... |