Please fill out this form and send via email or post mail so we have your contact information and your choices for the portrait drawing.
Name:________________________________________
Address:______________________________________
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Phone: (_____)______-______________ext._________
Email:____________________________@__________
Portrait Size:___________________________________
How do you preferred to be contacted? (please circle one) Phone or Email
If we choose, do we have your permission to use a copy of your photo and finished portrait drawing in our online gallery? (please circle one) Yes or No
Additional Comments:________________________________________
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