Hilda Jacome
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Portrait Order Form

Please print or fill in the following information to submit along with photos for the desired
Portrait. 

Name ____________________________________________________
Address_____________________________________________________
City StateZip ________________________________________________

Tel. Evening Phone in case of questions_____________________________

email__________________________________________________________




Regarding the Subject of the Painting:
You may want to  add a few words regarding the Subject of the Painting or any reference related materials (pictures or photos).   Please include any features, if any, that you would like emphasized.

______________________________________________________________________________

Oil or Acrylic Portraits unframed-sizes are in inches--head or full body
8x10   $150
Choice of 11x14 or 12x16 $200
14x18 or 16x20 plain background $350

No. of photos submitted ____Size of painting desired_____________

Would you like your painting framed?   Yes ___  No____
Gold Toned ___  Wood Toned ____Silver Toned____   Artist’s best judgment___
**Contact Artist for prices of frames.


A 50% deposit is required for all orders. The remainder will be invoiced upon completion.


Amount Enclosed: $ 


Your Signature __________________________________ Date_____________________

All Images Copyrighted 2014 Hilda Jacome