PRINT REQUEST FORM

Interested in purchasing a print?

Please leave me the following information, and I will contact you within 48 hours with pricing information. This form will show your interest in purchasing a print, it is not a finalized sale. Thank you!

**Please note: “Framing” refers to the artist’s preferred display method for that piece. The pricing information will reflect this.**

[contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Series’ type=’select’ required=’1′ options=’Every Martyr I%26#039;ve Known,New Nostalgia,Wistful Thinking,Jetsam,Flotsam,1641,None of the above.’/][contact-field label=’If you chose %26quot;None of the Above%26quot;%26#x002c; please explain.’ type=’text’/][contact-field label=’Image Description’ type=’text’ required=’1’/][contact-field label=’Print Size’ type=’radio’ required=’1′ options=’4 x 6,6 x 9,8 x 10,12 x 18’/][contact-field label=’Framed?’ type=’radio’ required=’1′ options=’Yes%26#x002c; please frame my piece.,No%26#x002c; I will frame it myself.’/][/contact-form]