Please print out this form and include it with your order

OUT OF THE DEEPS

(Please Print)

Name__________________________________________________________________

Address________________________________________________________________

City____________________________________________________________________

State_________________________________Zip Code__________________________

E-mail Address__________________________(Optional)Phone___________________________ (Optional)

Please send me______copies of the limited edition Out of the Deeps signed and numbered by the artist @ $125.00 each, plus $8.00 shipping and insurance for the first print, $2.00 for each additional print. For foreign orders please remit by money order payable in US funds.

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

Mail payment and order form to:
VINCENT DIFATE - ILLUSTRATOR
P. O. BOX 1771
WAPPINGERS FALLS, NEW YORK 12590-8771

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

Thank you very much for your order!