ART EXPORT

Bali Painter Order Form  

Please feel free to use this page or the following email addresses to order or for inquires. art@balipainter.com

Due to the complexity of shipping calculations all orders are processed by hand. Once you have fill out and submitted this order form we will produce an invoice for you to review with totals and the shipping choices available for your order. After reviewing the invoice you may accept it and make payment or decline the purchase.

NOTE once you have used the submit button at the bottom of this form you will automatically be forwarded to a conformation page.  If you do not get a conformation page resubmit your request or email it to us at art@balipainter.com

 

Please provide the following contact information:

Mandatory Field
Name
first middle initial last name 
Mandatory Field
Address
Street Address City State Zip Code Country 
Work Phone
Home Phone
FAX
Mandatory Field
E-mail
URL
   
  

Please provide the following ordering information:
      

  ITEM NUMBER
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
AA
AB
AC
AD
AE
AF
AG
AH
AI
AJ
AK
AL
AM
AN
AO
AP
AQ
AR
AS
AT
AU
AV
AW
AX

If your order does not fit in the spaces above please feel free to add additional items by typing the item number and quantities needed in the text box below.

Please choose a payment method
  Money Transfer  Check   Credit Card
PLEASE DO NOT PLACE ANY CREDIT CARD NUMBERS IN THIS FORM
Credit Card payment are processed through a secure payment system not this form.

NA if same as contact information

  SHIPPING
Address


Street Address City State Zip Code Country 

          Questions and Inquires

         

 

ART EXPORT