Coles Corner Images Website

Suncatcher Order Form

Coles Corner

P.O. Box 854

Clarksville, VA 23927

Julia Dressler

434-374-5577

Ship to:

Name_______________________________________________________________________________

Address______________________________________________________________________________

____________________________________________________________________________________

City, State & Zip Code __________________________________________________________________

Phone#_(_____)______________________________

E-Mail______________________________________

Qty Size Photo description Price @ Total

_____________2x3 rectangle__________________________________$10.00_________$___________

_____________3" circle_______________________________________$12.50_________$___________

_____________4"circle_______________________________________$20.00_________$___________

_____________3" square______________________________________$12.00_________$___________

_____________4"square______________________________________$18.00_________$____________

_____________3x4 rectangle__________________________________$16.00_________$____________

_____________4x6 rectangle__________________________________$24.00_________$___________

_____________4" Heart______________________________________$25.00_________$___________

_____________3x5 Oval_____________________________________$24.00__________$___________

Please use this space for any additional instructions, or to order suction cups @ $.25 or mahogany wood

stands $3.00, (Please specify large or small)_____________________________________________________

_____________________________________________________________________________________

$5.50 USPS Prioriy mail shipping for the first piece

and $.25 for each additional one shipped together__________________Shipping________$____________

_______________________________________________________Total___________$____________

Paid by; Check enclosed_______

Pay with__ Visa, __Mastercard,__ American Express__Discover -

acct#______________________________ exp. date___________ *cvv number___________

Signature_______________________________

Printed Name on Card________________________________

____Paid with paypal--at bestsuncatchers@hotmail.com

We can turn your own photo's into sun catchers of any size. All you need is a good quality photo (well focused, with preferably some contrast in the body of the photo) which you can e-mail to me, or send in the mail (I return your photo with the sun catcher, in about one week) Please include what size and shape you would like to have. We can shrink or enlarge the photo to fit the glass. We can also add a name or date to the piece, at no charge. We can also repair tears or bends if it is an old photo, and in most cases there is no extra charge for this. Black and whites also do very well. The prices for the sizes are listed below, please be sure to include a payment for the price of the sun catcher(s), along with $5.50 shipping for the first piece, and 25 cents for each additional piece shipped together. If e-mail is easier for you, I do accept paypal, at bestsuncatchers@hotmail.com and also Visa/Mastercard, American Express and Discover, but I would suggest you call with the credit card number, for safety reasons, or you could just print the order form below and drop it in the mail.

We accept Visa & Mastercard, American Express and Discover

*cvv number is the three digit number on the backside of the signature line on Visa and Mastercard

WE ACCEPT PAYPAL bestsuncatchers@hotmail.com

We are sorry, but we can not reproduce copyrighted photographs without written permission from the photographer. Copyrighted photographs will have the photographer's or studio's name or stamp on them, usually on the front, but sometimes on the back of the picture.