Morten E. Solberg 197 Oak Lake Drive Spring Hill, FL 34608

ORDER FORM

To order, print out this page and mail to the above address. By using this order form you are entitled
to have Morten Solberg add a personalized message of your choice and re-sign each print.
Please use the back of this form if necessary.

PURCHASED BY:
Name:	______________________________________________________
Address:	______________________________________________________
City, State, Zip:	______________________________________________________
Phone:	______________________________________________________
Email:	______________________________________________________
SHIP TO (complete if different from above):
Name:	______________________________________________________
Address:	______________________________________________________
City, State, Zip:	______________________________________________________

	Amount
Title of Print (specify if AP): ________________________________________________________	________
Personalized message: __________________________________________________________
_____________________________________________________________________
Title of Print (specify if AP): ________________________________________________________	________
Personalized message: __________________________________________________________
_____________________________________________________________________
Title of Print (specify if AP): ________________________________________________________	________
Personalized message: __________________________________________________________
_____________________________________________________________________
Florida residents add 6% sales tax	________
Shipping ($10.00 for U.S. Residents, $20.00 for Non-U.S.)	________
TOTAL	________
Terms: Check only.  Prints will be mailed after your check clears.  Make check payable to: Morten E. Solberg