Jacquiline_H.

Please indicate the following information in order to personalize your name painting.

You may cut and paste this form to the email link. Any photographic references will be returned as requested.

1. Individual’s name as you wish it to be drawn_________________________________

2. General age of the person __________Gender_____________

3. Skin Tone________________________________Hair Color______________________

4. Hair Style__________________________________________Eye Color_______________

5. Hobbies/favorite activities____________________________________________________

6. Describe Pets, if any_______________________________________________________

7. Clothing Style____________________________________________________________

8. Background color or locale________________________________________________________________

9. Ship to__________________________________________________________________

10. Your Name_____________________________________

Address____________________________________

Zip Code_______________________

Phone #________________________

Email__________________________

11. Date by which delivery is needed_______________________________________________

12. Mat color, if desired…choose: white, red, light blue, marine blue, green, lt. green, pink or yellow_______________________________________________________________

13. Number of letters @ $15____Total $_______ Number of letters @ $25 (A, H, M, W)____Total $____Shipping and handling (add $6.00)______Total $________

14. Please email this form to Jacqueline H. Altman and a verification email will follow.

Click here to email form to Jackie (don't forget to copy and paste the form.)