KEITHS PENCIL ART

  Pencil drawings by Louisiana Artist Keith LaCour

PRINTABLE ORDER FORM

 Make check or money orders payable to - 

KEITH LACOUR  -   P.O. Box 519   -  Libuse, LA 71348

NAME_________________________________________________
ADDRESS______________________________________________
CITY__________________STATE______ZIP__________PHONE______________

Prints are $13.95 Each ( * plus shipping * ) 

Carnival Notecard Sets are $8.00 (* plus shipping *)

FLEUR-DE-LIS & BUILDING  notecard sets are $8.00 ( * plus shipping * )

* Please refer to the chart at the bottom of the page for shipping rates *

 ITEM                                   QTY PRICE EACH TOTAL
    
    
    
    
    
    
    
                                                                  merchandise total 
   LA residents add 5% sales tax 
   SHIPPING & HANDLING 
   Total enclosed 

                         ******* SHIPPING & HANDLING SCHEDULE *******

                         1 - items add $5.50                                       9 - items add $11.50

                         2 - items add $6.25                                       10 - items add $12.25

                         3 - items add $7.00                                       11 - items add $13.00

                         4 - items add $7.75                                       12 - items add $13.75

                         5 - items add $8.50                                       13 - items add $14.50

                         6 - items add $9.25                                       14 - items add $15.25

                         7 - items add $10.00                                     15 - items add $16.00

                         8 - items add $10.75                        for orders of more than 15 items call for shipping prices

                                                                                                               ( 318-769-1068)