The Cirrus Gallery Store
Order Form

Please print out this form and call, email, fax or mail your order to:

Cirrus Gallery
542 S. Alameda Street
Los Angeles, CA 90013
(213) 680-3473 phone
(213) 680-0930 fax
cirrus@cirrusgallery.com

Product
Item Number
Quantity
Price
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Payment can be made with Cash, Check, Money Order, or Credit Card (American Express, Visa or Mastercard).
Subtotal
_______________
8.25% CA
Sales Tax
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Credit Card Type
_______________
Shipping
_______________
Credit Card Number
_______________
$4 for first book, $2 for each additional
book. Call for pricing for other items.
Card Expiration Date
_______________
Total
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Name
_______________
Credit Card
Billing Address
(Include Zip Code)
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Shipping
Address
(If different)
_______________
_______________
_______________
Phone Number
_______________
Phone Number
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Name
(If different)
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