Seamus Fine Art Designs
Custom Order Form

Please print form first and fill out by hand using blue or black ink

FINE ART PRINT- IMAGE NUMBER AND NAME:
choose size: 
[  ] 8"X1O"  @ $15 
[  ] 11"14"    @ $30      price INCLUDES SHIPPING & HANDLING  (prints are matted and signed by Seamus)

 

T-SHIRT STYLE: (all shirts are white) $16 EACH, INCLUDES SHIPPING & HANDLING
Women's Men's Youth Size
[  ] Regular Tee 
[  ] Jewel neck Tee 
[  ] Short, jewel neck T 
[  ] Tank Top 
[  ] Baby doll		 [  ] Regular  Tee 
[  ] Tank Top 
 		 [  ] Regular Tee 
[  ] Tank Top 

 (Sizes: SM-XL ONLY)

 [  ]Small        [  ] XL 
[  ] Medium   [  ] *XXL 
[  ] Large       [  ] *XXXL 
*add $3 to price

IMAGE INFORMATION:
IMAGE # AND NAME  IMAGE PLACEMENT 
Image #: 

Name:

 [  ] Front 
[  ] Back 

 

 YOUR INFORMATION

 NAME:  _________________________________                         [  ]VISA  [  ] MASTER CARD [  ] AM. EXPRESS

ADDRESS: ________________________________                       CARD #:  __________________________________

_________________________________________                        EXPIRATION DATE: ________________________

CITY: _______________ST.________ZIP _______                       SIGNATURE: ______________________________
 

PHONE NUMBERS: HOME _______________________ WORK:______________________ FAX: _____________________
 

E-MAIL ADDRESS:_________________________


 Mail, Fax, or Phone:
ALOHA Images * Box 648, 1467 Kuhio Hwy  * Kapaa, HI  96746
1-877-256-4242 (Toll Free)  or 1-808-822-1599 (Fax)





SPECIAL INSTRUCTIONS OR OTHER T-SHIRTS: