if you run out of lines for your order, please submit additional form(s)

shipping:
gallons- up to $16 per gallon (ground) based on destination (special rates may apply for large orders)
paint pots- $7 for 1-6, $12.50 for 7-30, <30, will quote.
quarts- we're sorry, but we cannot ship quarts

your name
your email address
phone number (s)
this order is for in store pickup
pick-up day & time
this order needs to be shipped
i'd like to recieve the shipment by
billing address
ship to address (if different)
i want to pay by
best way to reach me (for payment)
special instructions or requests
color # 1
quantity
size/finish
color # 2
quantity
size/finish
color # 3
quantity
size/finish
color # 4
quantity
size/finish
color # 5
quantity
size/finish
color # 6
quantity
size/finish
color # 7
quantity
size/finish
color # 8
quantity
size/finish
color # 9
quantity
size/finish
color # 10
quantity
size/finish
color # 11
quantity
size/finish
color #12
quantity
size/finish
color #13
quantity
size/finish
color #14
quantity
size/finish
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to print a copy of this order, use your browsers print option. if you'd like to fax your order in, please print this form & send it to 520.886.5806
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