ORDER FORM PRINT OUT THIS FORM AND MAIL TO ADDRESS BELOW BRENDA MOORE STICKNEY www.brendamoorestickney.com Wildlife Artist & Registered Maine Guide 188 Skyline Drive Andover, ME 04216 207-357-7004 e-mail: info@brendamoorestickney.com  Please print and fill out this order form with a pen, and mail with your check to the above address. If you cannot print or run out of room, you may write the items on a separate piece of paper. Be sure to include your name, address and phone number, the item's page title, name and number; shipping and tax. WHOLESALE DISCOUNT: Take 25% off if your order is $1500 or more Name: Address (Shipping): City:                                     State                     Zipcode Phone: E-mail address: Website (if any): Page Heading Item # Item Name Size Cost each Quantity Total Cost                                                                                               Merchandise Total               Quantity discount               Maine res. add 5% tax               Shipping (below)               Total Enclosed    ADD SHIPPING & HANDLING (includes insurance for value) Mushrooms or Plaques: $10 for one; each additional: $4 Unframed Prints: $4 for up to 4 prints; $1 each additional Framed Originals: $15 each Antlers: $30/large $20/small (will quote upon antler approval)

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