Impressions of Champions ORDER FORM

Please print out and complete this form and mail or fax to:
MASTERWORKS
685 Pattington Lane
Union, MO 63084-4222
636-584-0920 phone/fax

Name: _______________________________________________________________

Address: _____________________________________________________________

City: _______________________________ State: ______ Zip Code:______________

Area Code & Telephone: _________________________________________________

Area Code & FAX: _____________________________________________________

E-mail address: ________________________________________________________

_____ Quantity Ordered

X $50

__________ Total enclosed or charged to credit card

Please allow 2-3 weeks for delivery.

METHOD OF PAYMENT:

Checks, money orders, or PayPal.

Please make checks payable to: MASTERWORKS

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