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GallerySUSSEX Order Form
to be used for Faxing/Posting directly to Gallery - CREDIT CARDS ONLY - NO DEBIT CARDS - Thank You.
	Name
	Address
	City/County
	State/Provence
	Country
	Zip/Postal Code
	Email	*
	Type Card Credit Card No.	Exp. Date Sec.(3) digits
	No. and type of items
	Name of Painting
On receipt of this order, we will calculate the exact invoiced amount and notify you by email or telephone. If you have any queries pertaining to the order or wish to order multiple items, please contact us directly through the contact page on the website or phone us where we would gladly accommodate your enquries. POSTAL INFORMATION: Gallery Sussex, 100 Hurst Road, Eastbourne, East Sussex, BN21 2PW
fill out the form and print - then send to the above address. Thank you