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Print form, complete and mail or fax  to: 
Fungus Art, P.O. Box 330, Carnegie, PA  15106


Customer Name:_____________________________________________________________


Address:____________________________________________________________________


City, State, Zip:______________________________________________________________


Phone:__________________________E-mail:_____________________________________



Ship To Name:______________________________________________________________


Address:___________________________________________________________________

City, State, Zip:_____________________________________________________________



__*Check      __ *Money Order      __Visa      __ Master Card      __ Discover Card

*Please make checks and money orders payable to Larry Schneider



Card No:______________________________    Exp. Date:___________________________



Signature:_____________________________    Date:_______________________________




Item                           Description                          Price


____________________________________________________________________________


____________________________________________________________________________


____________________________________________________________________________


____________________________________________________________________________


____________________________________________________________________________


Sub Total:_______________________


6% Sales Tax:_______________________


Sub Total:_______________________


12% Shipping & Handling*:_______________________


Total Due:_______________________

*Continental United States.

Other locations by quotation.

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The pictures shown are examples.  Since my paintings are all hand painted originals and not reproductions, I don’t have something close.  We first send a photo for approval before entering any check or credit card.  You may also request a few photos in advance which I will e-mail.  I have a good supply of wood plaques.  In recent years however, fungus has been very difficult to find.  I therefore have very limited fungus.