counter free hit unique web Order Form
Order Form
Mail check or money order to:
(postal money order for outside the US)

Melissa A Benson
POBox 119
Stratford, CT 06615
USA

Any questions? email me: mabenson@snet.net
1. Download
2. Fill out
3. Mail in		 Mail items to:

Your name:__________________________
Address: ____________________________
City/Town: __________________________
State/Province: _____________________
Country: ____________________________

 email: _________________________
Limited Edition Prints
Qty
Limited Edition Prints: Image
Loose
Matted
Framed
Price:
______ _____________________________________ ______ ______ ______ __________
______ _____________________________________ ______ ______ ______ __________
______ _____________________________________ ______ ______ ______ __________
______ _____________________________________ ______ ______ ______ __________
Loose prints: $12.00 each
Matted & shrinkwrapped: $25.00
Matted & framed: $35.00

Mythic Creatures Collection:
Qty
Mythic Creatures Collection: Image
Set (12)
Single
Framed
Price:
______ _____________________________________
______
 ______ ______ __________
______ _____________________________________
______
 ______ ______ __________
______ _____________________________________
______
 ______ ______ __________
______ _____________________________________
______
 ______ ______ __________
Collection Set (calendar): $10.00 each
Single prints: $15.00 each
Single prints framed: $45.00 each
Greeting Cards & Note Cards:
5 x 7 Greeting Cards:
1-9: $3.20 ea
10-19: 2.75 ea
Set of 10: $27.00

4 x 5.6 Note Cards:
1-9: $2.75 ea
10-19: 2.50ea
Set of 10: $24.00

Qty
Greeting Cards & Note Cards: Image
1-9
10-19
Set of 10
Price:
______ _____________________________________
______
______
 ______ __________
______ _____________________________________
______
______
 ______ __________
______ _____________________________________
______
______
 ______ __________
______ _____________________________________
______
______
 ______ __________
Artist Proof Cards:
Qty
Artists Proof cards: Image or set name
# of cards
Price:
______ _____________________________________
______
 __________
______ _____________________________________
______
 __________
______ _____________________________________
______
 __________
______ _____________________________________
______
 __________
Single cards: $50.00 each
Card Set: $50.00 each less 10%
Two sets bought at the same time: $50.00 each less 20%
Three sets bought at the same time: $50.00 each less 30%
Shipping on Artist Proof Cards is free
Ceramic Mugs:
Qty
Ceramic Mugs: Image
black 11 oz
Price:
______ _____________________________________ ______ __________
______ _____________________________________ ______ __________
______ _____________________________________ ______ __________
______ _____________________________________ ______ __________
Black 11 oz ceramic : $12.99 each
Shipping
Limited Edition Prints - 1-4 Loose:
 $3.00 Greeting and Note Cards: $1.99 for 1-5 cards
mounted/shrinkwrapped
$5.00 $2.99 for 6-9 cards
matted/mounted/shrinkwrapped:
 $5.00 $5.99 for 10-19 cards
framed:
$7.50 $7.99 for 20-49 cards
Mythic Creatures - single print or set:
 $3.00
framed:
 $7.50
Black Ceramic Mugs:
 5.00 for 1-3 mugs
buy four mugs at the same time
 free!
Subtotal: __________

Shipping: __________

Total: __________

Check # : __________