Silver Dragon Studio & Gallery
Dragon Order Form

Print Out and Send Order Form — or Send Order on a Seperate Sheet
Click Here to View Dragons
Dragon Prints beautifully reproduced on rice paper, matted in black and ready to frame.
Each print detailed by hand and signed by the artist, DraSan' Nitti.
To Order: Please Print Out or write informaiton on seperate sheet
Mail to:
DraSan' Nitti, 8552 St. Louis Ave., Skokie, IL 60076
International Shipping Charges - Please add $15.00 additonal shipping
for16" x 20" and 18" x 24" prints,

~ Please Print Clearly ~

 


Dragon Title:
___________________________________________________
Calligraphy:

First Name or Message Character:_____________________________________
Size: 8" x 10" $30.00     
11" x 14" $50    16" x 20 " $95.00     18" x 24" $150.00 


Dragon Title:
___________________________________________________
Calligraphy:

First Name or Message Character:_____________________________________
Size: 8" x 10" $30.00      11" x 14" $50      16" x 20 " $95.00     18" x 24" $150.00 

Please print additional Dragon Order on back side or additional sheet

Flat Rate to US $5.95
International Orders
$10.00 USD - $75.00 USD
 $7.25 USD
$75.01 USD - $124.99 USD
 $12.95 USD
$130.00 USD - $399.99 USD
 $18.75 USD
$400.00 USD - UP
 $29.95 USD
Dragon Subtotal
$ ______________
Subtotal
$ ______________
Shipping and handling:
Total enclosed
$ ____________


Name____________________________________________________________________

Street Address:_____________________________________________________________

City: _______________________State: ____________Zip Code______________________

Home Phone: (_________) ________________________________

E-Mail:____________________________________________________________________

Credit Card Type:      __ Master Card    __Visa    __American Express     __Discover

Credit Card Number :_________________________________________________________

Card Security Code: _____________cc(On the back of your card, locate the final 3 digit number)
                                       (American Express Users - Card Security Code is 4 Small numbers on front of card)

Expiration Date::    ________________________________________

To Ship to another Address, Please include shipping information.

 

To Order, Please Print Out and Mail to:
DraSan' Nitti
, 8552 St. Louis Ave., Skokie, IL 60076

www.SilverDragonGallery.com