Art Resource Technology

65588 Tweed Road

Bend, OR 97701-9220

 

Phone:  541.318.0162

 

www.artresourcetechnology.com

 

Giclee Print Order Form

 

We require the following information to help process your order.  Please print, fill out,  and sign this form then fax or send  it to us with your image.  If you are sending more than one job, please fill out a separate form for each job.

 

Name                     _____________________________________________________________________________________

 

Address                  _____________________________________________________________________________________

 

City                         __________________________________________________  State __________  Zip  _____________

 

Phone (Day)         __________________________________   Phone (Evening) _________________________________

 

Email                       _____________________________________________________________________________________

 

Artist Name            __________________________________  Image Title  ______________________________________

 

Description            _____________________________________________________________________________________

 

Insurable Value (if sending original art work)   _______________________

 

 

Print medium desired - please check one:

 

[___]       Canvas                 [___]       Presentation matte              [___]  Other (specify below)

                [___]       Watercolor            [___]       Photo Gloss                             

                [___]       Velvet                    [___]       Photo Satin                          

               

Other                      _________________________________________________________________

 

Sheet Size              ________________________    Print Size ______________________________

 

# of Sheets            ________________________   Images per sheet ______________________

 

Border Size             [___] Custom: ________      [___] Standard trim (approx. ½”)

Gallery Wrap        [___} Yes    [___] No    Note – 2” gallery wrap available at additional cost.

 

Proofing                  [___] Standard $35                              [___] 2-Day Shipping + $5        [___] Next Day Shipping + $10

                                [___] In-house $30                                [___] No proof

 

Shipping                We generally ship UPS Ground unless otherwise specified.  Next-day, 2- Day, and 3-Day are also available, as is FedEx.  If you live in the local area we will call you for pickup.  Return shipping of original art  and prints is billed at cost and added to your invoice.

 

[___] UPS Ground                [___] UPS 3-Day                   [___] UPS 2-Day                                   [___] UPS Next Day

[___] FedEx Ground            [___] FedEx 3-Day                [___] FedEx 2-Day                                [___] FedEx Next Day

 

Credit Card            [___] Visa                                               [___] Master Card

                               

                                Number _________________________________________               Exp. Date ___________________

 

                                Name as if appears on card _______________________________________________________

 

 

By signing this form you are accepting full responsibility for having legal rights for reproducing this image or have written rights to reproduce the image from the copyright owner.


 

Signature __________________________________________________          Date_____________________

 

 

 

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