ORDER FORM
 

 Today's Date: __________

DESIGNS BY MARY BETH
THE LEADER IN CUSTOM HOUSE PORTRAITS

1566 Old State Rd., Glencoe, MO 63038
(314) 968-9148

ORDERING IS EASY... simply print and fill out order form.   Provide a 3 x 5 or 4 x 6 full view color photo of the house.  You may provide a photo, or if you are ordering a Gift Card the recipient may.   Send completed order form, photo (if available), and full payment to above address.  Please specify below where Gift Card is to be sent (if applicable). Make checks payable to Designs by Mary Beth
USE A SEPARATE ORDER FORM FOR EACH PHOTO.                       DO YOU NEED A GIFT CARD?  YES  NO

Ordered By Name:
 
Ship To Name:(if different)
Address: Address:
City, State, Zip: City, State, Zip:
Phone: Phone:

PORTRAITS (Art work only.  Mat & frame not offered.)

Size

Water Color Qty.
Pen & Ink Qty.
Price

Sub Total

5 x 7    

$180.00

 
8 x 10    

$350.00

 
11 x 14    

$600.00

 
15 x 20    

$1,000.00

 

BLACK & WHITE NOTE CARDS (4 1/4 x 5 1/2 w/envelopes)

No. of Cards Per Order
Qty. 
Price w/ original
Pen & Ink Purchase

Price

Sub Total
50

 

$60.00

 
100

 

$85.00

 
No. of Cards Per Order
Qty.
Price w/o original
Pen & Ink Purchase

Price

Sub Total
50

 

$85.00

 
100

 

$135.00

 

COLOR NOTE CARDS

*4 1/4 x 5 1/2 w/envelopes *Only available w/original Water Color purchase.

No. of Cards Per Order
Qty.

Price

Color Note Card Total
100

 

$250.00  

PACKING & SHIPPING CHART

Portraits

Note Cards

5 x 7 $16.00 11 x 14 $22.00 50 $17.00
8 x 10 $18.00 15 x 20 $26.00 100 $20.00

TOTAL ORDER

Make checks payable to:
Designs by Mary Beth.

How did you find me?

Cottage Living Magazine
Ladue News
Midwest Living
Home Magazine
Romantic Homes
Hobby Farm Home Mag.
Victorian Homes Mag.
Other ____________________
Portrait Sub Total  
Black & White Note Card Sub Total  
Color Note Card Sub Total  

MERCHANDISE TOTAL

 

Add 8.613% Sales Tax (For Missouri Only)  
Packing & Shipping (See Chart)  
Photo fee $75.00 (Optional only in St. Louis area)  
Total enclosed  
Privacy Policy:  All information collected by Designs by Mary Beth is held confidential.