To make a purchase, just print this order form and fax to
Kerry Walker 0-3 546 5166.
Alternatively you may wish to post this form to us. Our address is
Kerry Walker, 105 Moana Avenue, Nelson, New Zealand kerry@kerrywalkerart.co.nz

 Kerry Walker: Artist

Painting Name

Canvas or card

Size

Quantity

Price
Please note:- Postage and packaging within New Zealand are as follows.
Postage to anywhere in South Island $20, postage to Wellington $20, postage to anywhere else in the North Island $32.
Postage overseas will be added to your order. We will email/fax you the total cost before sending your paintings.

Subtotal

    

Plus postage

    

Total order

I enclose a cheque my Credit Card is detailed below (please tick)

Name (as shown on card)

Type (eg Visa, Mastercard only)
Card Number
Expiry date
Signature of cardholder
E-mail address
Phone number
Fax number

Please deliver my purchase to ...

Name

Delivery Address

Thank you! We appreciate your business