Greeting Card Order Form


Please return the following order form to purchase artwork greeting cards.
Make the check out the The Shield Institute.

The Shield Institute
Pure Vision Art Studio
114 West 17th Street
New York, New York 10011
Phone: 212-366-4263

Prices: (Minimum order of 15 cards required for shipping)

15 Cards by Jessica Park                      $20.00 plus tax and shipping ($6.73)
                                             $26.73 per order

15 Cards by Pure Vision Artists
Including Jessica Park,
William Britt and Susan Brown                  $20.00 plus tax and shipping ($6.73)
                                             $26.73 per order

Number of Sets: Jessica Park Set           Assorted Artists Set        

Total Price:            

Shipping Address

Name:                                 

Address:                                 

City:                                  State:                

Zip Code:                        

Method Of Payment

Check(   ) Am Ex.(   ) Visa(   ) MasterCard(   )

Card Number:                                  

Exp. Date:                         

Signature:                         

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