ABOVE AND BELOW PRINT

(Please Print)

Name__________________________________________________________________

Address________________________________________________________________

City____________________________________________________________________

State_________________________________Zip Code__________________________

E-mail Address__________________________(Optional)Phone___________________________ (Optional)

Please send me______copies of the limited edition of ABOVE AND BELOW signed and numbered by the artist @ $35.00 each, plus $6.00 shipping and insurance for the first print, $1.50 for each additional print. #C-2

Please send me______copies of ABOVE & BELOW co-signed by Ricou Browning and Ben Chapman @ $100.00 each, plus $6.00 shipping and insurance for the first print, $1.50 for each additional print. #C-2S

New York State residents, please add NYS Sales Tax___________

Total Enclosed_________________________________________
(please remit by personal check or money order only made payable to Vincent Di Fate. Please allow four to six weeks for delivery)

Mail payment and order form to:
VINCENT DI FATE - ILLUSTRATOR
P. O. BOX 1771
WAPPINGERS FALLS, NEW YORK 12590-1771

Would you like to be notified of future offerings? Yes___ No___

Thank you for your order!