Locrian Art

Secure Order Form

This is a secure site with encryption and secure server

For fax or postal transactions please print out this form

All Prints are $Aus 26 (including GST, packaging and first class air postage to anywhere in the world) At current exchange rates this is about $US13 and £10 STERLING

Press and hold on the box called "Title". A list will appear and you should select the title from the pull down menu for whichever print you wish to purchase. Type in the quantity and price ($Aus). Use a new line for each different title you wish to purchase.

If you would like help with ordering your prints click the following link HELP

Title 1 "Dusk Canunda Coastline" "Big Bend" "Stonehenge" "Koyt Tredhewi" PRINT Qty Cost

Title 2 "Dusk Canunda Coastline" "Big Bend" "Stonehenge" "Koyt Tredhewi" PRINT Qty Cost

Title 3 "Dusk Canunda Coastline" "Big Bend" "Stonehenge" "Koyt Tredhewi" PRINT Qty Cost

Title 4 "Dusk Canunda Coastline" "Big Bend" "Stonehenge" "Koyt Tredhewi" PRINT Qty Cost

Title 5 "Dusk Canunda Coastline" "Big Bend" "Stonehenge" "Koyt Tredhewi" PRINT Qty Cost

Total $

Please click the appropriate checkbox for the credit card you are using

Bankcard

Visa

Mastercard

Expiry date : Card Number :

(Postal and fax orders only please circle) Cheque / Money Order

Name

Street

Suburb

City/State

Country

Zip / Post code

Phone

Email

Submit, post, phone or fax to

Locrian Art PO Lenswood South Australia 5240

Ph/fax :(+61) 8 8389 8417

Web site : www.locrian.com.au

email : art@locrian.com.au