ORDERING INFORMATION

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=80 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="05fcf501egerdp.jpg"> <div> <I><B>www.tombutlerart.com</B></I></div> <div> <I><B>Order Form</B></I></div> <bR> <div> </div> </td> </tr><tr> <td valign="top" width=168 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="043a8602egerdp.jpg"> <div> <B>Scroll down for</B></div> <div> <B> all the  links</B></div> <div> <A HREF="index.htm" TARGET="_top" TITLE="TOM BUTLER ART"><U><B><IMG SRC="06882200.jpg" border=0 width="130" height="32" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A></div> <div> <A HREF="id18.htm" TARGET="_top" TITLE="SPECIAL EDITION PRINTS"><U><B><IMG SRC="06982200.jpg" border=0 width="130" height="32" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A></div> <div> <A HREF="id21.htm" TARGET="_top" TITLE="GROCERY STORE COLLECTIONS"><U><B><IMG 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HSPACE="0" VSPACE="0"></B></U></A></div> <div> <A HREF="id23.htm" TARGET="_top" TITLE="CONTACT INFORMATION"><U><B><IMG SRC="07182200.jpg" border=0 width="130" height="32" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A></div> <div> <A HREF="id22.htm" TARGET="_top" TITLE="LEGAL INFORMATION"><U><B><IMG SRC="07282200.jpg" border=0 width="130" height="32" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A></div> <div> <A HREF="id27.htm" TARGET="_top" TITLE="MAILING LIST"><U><B><IMG SRC="07382200.jpg" border=0 width="130" height="32" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A></div> <div> <I><B><IMG SRC="07782610.jpg" border=0 width="130" height="97" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></I></div> <bR> <div> <I><B> <script language=JavaScript>  </script>  </B></I></div> </td> <td valign="top" height=400 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="052f0f03.jpg"> <div>  Sales Office, PO Box 17., Madison, NC 27025</div> <div> <FONT SIZE="2" COLOR="#660000" FACE="Hobo BT" >Contact Us By Phone: </FONT>336-548-1999<FONT SIZE="2" COLOR="#000000" FACE="Hobo BT" > </FONT><FONT SIZE="2" COLOR="#660000" FACE="Hobo BT" > or  E-mail:</FONT> <A HREF="mailto:info@tombutlerart.com" TARGET="_top" TITLE="mailto:info@tombutlerart.com"><U>info@tombutlerart.com</U></A></div> <div> Use the "Tab" button or click on a box to input or edit type.</div> <div>  <FORM ACTION="mailto:info@tombutlerart.com?no_signature=true" METHOD="POST" ENCTYPE="text/plain"> <TABLE WIDTH="60%" BORDER="0"> <tr><td> <table width="50%"> <tr><td>SOLD TO</td></tr> <tr> <td>Name:</td> <TD><INPUT NAME="SOLD TO name" SIZE="20" ALIGN="BOTTOM"></TD> </tr> <tr> <td>Company:</td> <TD><INPUT NAME="Company" SIZE="00" ALIGN="BOTTOM"></TD> </tr> <tr> <td>PO Box: </td> <TD><INPUT NAME="PO Box" SIZE="00" ALIGN="BOTTOM"></TD> </tr> <tr> <td>Street: </td> <TD><INPUT NAME="street" SIZE="00" ALIGN="BOTTOM"></TD> </tr> <tr> <td>City:<br>State/Zip: </td> <TD><INPUT NAME="city" SIZE="20" ALIGN="BOTTOM"> <INPUT NAME="state" SIZE="2" ALIGN="BOTTOM"> <INPUT NAME="zip" SIZE="10" ALIGN="BOTTOM"></TD> </tr> <tr> <td>Phone: </td> <TD><INPUT NAME="phone" SIZE="20" ALIGN="BOTTOM"></TD> </tr> <tr> <td>Fax: </td> <TD><INPUT NAME="Fax" SIZE="20" ALIGN="BOTTOM"></TD> </tr> <tr> <td>E-mail:</td> <TD><INPUT NAME="E-mail" Size=20" ALIGN="BOTTOM"></TD> </table> </td><td> <table width="50%"> <tr><td>SHIP TO</td></tr> <tr> <td>Name: </td> <TD><INPUT NAME="SHIP TO name" SIZE="20" ALIGN="BOTTOM"></TD> </tr> <tr> <td>Company: </td> <TD><INPUT NAME="Company" SIZE="20" ALIGN="BOTTOM"></TD> </tr> <tr> <td>PO Box: </td> <TD><INPUT NAME="PO Box" SIZE="20" ALIGN="BOTTOM"></TD> </tr> <tr> <td>Street: </td> <TD><INPUT NAME="street" SIZE="20" ALIGN="BOTTOM"></TD> </tr> <tr> <td>City:<br>State/Zip: </td> <TD><INPUT NAME="city" SIZE="20" ALIGN="BOTTOM"> <INPUT NAME="state" SIZE="2" ALIGN="BOTTOM"> <INPUT NAME="zip" SIZE="10" ALIGN="BOTTOM"></TD> </tr> <tr> <td>Phone: </td> <TD><INPUT NAME="Phone" SIZE="20" ALIGN="BOTTOM"></TD> </tr> <tr> <td>Fax: </td> <TD><INPUT NAME="Fax" SIZE="20" ALIGN="BOTTOM"></TD> </tr> <tr> <td>E-Mail: </td> <TD><INPUT NAME="E-mail" SIZE="20" ALIGN="BOTTOM"></TD> </tr> </table> </td></tr> </table> <table border="1" width="60%"> <tr> <td width="3%" ALIGN="CENTER">Qty</td> <td width="5%" ALIGN="CENTER">Item #</td> <td width="10%" ALIGN="CENTER">Description</td> <td width="5%" ALIGN="CENTER">Frame</td> <td width="5%" ALIGN="Center">Top Mat</td> <td Width="5%" ALIGN="Center">Bot Mat</td> <td width="5%" ALIGN="Center">Price Ea.</td> <td width="5%" ALIGN="Center">Total</td> <tr> <td> <INPUT NAME="L1 Qty" SIZE="3" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L1 Item #" SIZE="6" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L1 Description" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L1 Frame" SIZE="8" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L1 Top Mat" SIZE="4" ALIGN="BOTTOM""><br> </td> <td> <INPUT NAME="L1 Bottom Mat" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L1 PRICE EACH" SIZE="9" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L1 TOTAL" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L2 Qty" SIZE="3" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L2 Item #" SIZE="6" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L2 Description" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L2 Frame" SIZE="8" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L2 Top Mat" SIZE="4" ALIGN="BOTTOM""><br> </td> <td> <INPUT NAME="L2 Bottom Mat" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L2 PRICE EACH" SIZE="9" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L2 TOTAL" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L3 Qty" SIZE="3" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L3 Item #" SIZE="6" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L3 Description" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L3 Frame" SIZE="8" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L3 Top Mat" SIZE="4" ALIGN="BOTTOM""><br> </td> <td> <INPUT NAME="L3 Bottom Mat" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L3 PRICE EACH" SIZE="9" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L3 TOTAL" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L4 Qty" SIZE="3" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L4 Item #" SIZE="6" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L4 Description" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L4 Frame" SIZE="8" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L4 Top Mat" SIZE="4" ALIGN="BOTTOM""><br> </td> <td> <INPUT NAME="L4 Bottom Mat" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L4 PRICE EACH" SIZE="9" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L4 TOTAL" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L5 Qty" SIZE="3" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L5 Item #" SIZE="6" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L5 Description" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L5 Frame" SIZE="8" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L5 Top Mat" SIZE="4" ALIGN="BOTTOM""><br> </td> <td> <INPUT NAME="L5 Bottom Mat" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L5 PRICE EACH" SIZE="9" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L5 TOTAL" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L6 Qty" SIZE="3" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L6 Item #" SIZE="6" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L6 Description" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L6 Frame" SIZE="8" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L6 Top Mat" SIZE="4" ALIGN="BOTTOM""><br> </td> <td> <INPUT NAME="L6 Bottom Mat" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L6 PRICE EACH" SIZE="9" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L6 TOTAL" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L7 Qty" SIZE="3" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L7 Item #" SIZE="6" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L7 Description" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L7 Frame" SIZE="8" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L7 Top Mat" SIZE="4" ALIGN="BOTTOM""><br> </td> <td> <INPUT NAME="L7 Bottom Mat" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L7 PRICE EACH" SIZE="9" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L7 TOTAL" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L8 Qty" SIZE="3" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L8 Item #" SIZE="6" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L8 Description" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L8 Frame" SIZE="8" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L8 Top Mat" SIZE="4" ALIGN="BOTTOM""><br> </td> <td> <INPUT NAME="L8 Bottom Mat" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L8 PRICE EACH" SIZE="9" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L8 TOTAL" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L9 Qty" SIZE="3" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L9 Item #" SIZE="6" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L9 Description" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L9 Frame" SIZE="8" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L9 Top Mat" SIZE="4" ALIGN="BOTTOM""><br> </td> <td> <INPUT NAME="L9 Bottom Mat" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L9 PRICE EACH" SIZE="9" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L9 TOTAL" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L10 Qty" SIZE="3" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L10 Item #" SIZE="6" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L10 Description" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L10 Frame" SIZE="8" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L10 Top Mat" SIZE="4" ALIGN="BOTTOM""><br> </td> <td> <INPUT NAME="L10 Bottom Mat" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L10 PRICE EACH" SIZE="9" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L10 TOTAL" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L11 MC" SIZE="3" VALUE="MC"><br> </td> <td> <INPUT NAME="L11 MC Card" Title" SIZE="6" VALUE="Card#"><br> </td> <td> <INPUT NAME="L11 MC NUMBER" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L11 Exp Date Title" SIZE="8" VALUE="EXP M/Y"><br> </td> <td> <INPUT NAME="L11 EXP Month" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L11 EXP Year" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L11 Sub Total Title" SIZE="9" VALUE="Sub TOTAL"><br> </td> <td> <INPUT NAME="L11 Sub Total" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L12 Visa" SIZE="3" VALUE="VISA"><br> </td> <td> <INPUT NAME="L12 Visa Card# Title" SIZE="6" VALUE="Card#"><br> </td> <td> <INPUT NAME="L12 VISA NUMBER" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L12 Exp Date Title" SIZE="8" VALUE="EXP M/Y"><br> </td> <td> <INPUT NAME="L12 EXP Month" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L12 EXP Year" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L12 sales tax title " SIZE="9" VALUE="6.75% Tax"><br> </td> <td> <INPUT NAME="L12 Sales Tax" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L13 AM EXP" SIZE="3" VALUE="AE"><br> </td> <td> <INPUT NAME="L13 Am Exp Card# Title" SIZE="6" VALUE="Card#"><br> </td> <td> <INPUT NAME="L13 AM EXP NUMBER" SIZE="15" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L13 Exp Date Title" SIZE="8" VALUE="EXP M/Y"><br> </td> <td> <INPUT NAME="L13 EXP Month" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L13 EXP Year" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L13 shipping title " SIZE="9" VALUE="Shipping"><br> </td> <td> <INPUT NAME="L13 Shipping" SIZE="9" ALIGN="BOTTOM"><br> </td> <tr> <td> <INPUT NAME="L14 Check # Title" SIZE="3" VALUE="Ck #"><br> </td> <td> <INPUT NAME="L14 Check #" SIZE="6" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L14 Money Order #" SIZE="15" VALUE="Money Order #"><br> </td> <td> <INPUT NAME="L14 Money Order#" SIZE="8" ALIGN="BOTTOM"><br> </td> <td> <INPUT TYPE="hidden" NAME="L14 hide E" SIZE="4" ALIGN="BOTTOM""><br> </td> <td> <INPUT TYPE="hidden" NAME="L14 hide F" SIZE="4" ALIGN="BOTTOM"><br> </td> <td> <INPUT NAME="L14 Grand Total title " SIZE="9" VALUE="TOTAL"><br> </td> <td> <INPUT NAME="L14 Total" SIZE="9" ALIGN="BOTTOM"><br> </td> </table> <INPUT TYPE="submit" VALUE="Click Here To E-mail Order"> <INPUT TYPE="reset" VALUE="Click To Clear Form"> </form> <SCRIPT Language="Javascript"> /* This script is written by Eric (Webcrawl@usa.net) For full source code, installation instructions, 100's more DHTML scripts, and Terms Of Use, visit dynamicdrive.com */ function printit(){ if (window.print) { window.print() ; } else { var WebBrowser = '<OBJECT ID="WebBrowser1" WIDTH=0 HEIGHT=0 CLASSID="CLSID:8856F961-340A-11D0-A96B-00C04FD705A2"></OBJECT>'; document.body.insertAdjacentHTML('beforeEnd', WebBrowser); WebBrowser1.ExecWB(6, 2);//Use a 1 vs. a 2 for a prompting dialog box WebBrowser1.outerHTML = ""; } } </script> <SCRIPT Language="Javascript"> var NS = (navigator.appName == "Netscape"); var VERSION = parseInt(navigator.appVersion); if (VERSION > 3) { document.write('<form><input type=button value="Print this Page" name="Print" onClick="printit()"></form>'); } </script> <h3><center><i>Thank You For Your Order!</i></center></h3>  </div> <div> <B>MAT CODES</B></div> <div> <B>AW=Antique White, GY=Gray, T=Tan, R=Red, BY=Burgandy, G=Green, BL=Blue</B></div> <bR> <div> <B>FRAME CODES</B></div> <div> <B>BK=Black, CY=Cherry/Mahogany, OK=Oak, WL=Walnut, UF=Unframed</B></div> <bR> <div> <B>INSTRUCTIONS:</B><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial" ><B> Fill in the form above and submit the order</B></FONT></div> <div> <B>by clicking on the "Send" button or press the "Print" Button,</B></div> <div> <B>print out the form and mail or fax it to the address above.</B></div> <bR> <div> <B>NOTICE:</B><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial" ><B> Due to the extra weight and special handling of framed prints,</B></FONT></div> <div> <B>shipping & handling charges are based on each order. Please call or e-mail us</B></div> <div> <B>with the total number of framed and unframed prints that you plan to purchase</B></div> <div> <B>along with the state the order will be shipped to. The total amount will be </B></div> <div> <B>e-mailed back to you. Then submit the order form with the payment method</B></div> <div> <B>selected or send it with payment to the address above.</B></div> <bR> <bR> <bR> <bR> <bR> <div> <A HREF="id89.htm" TARGET="_top" TITLE="Privacy Policy"><U>Privacy Policy</U></A></div> <bR> <bR> <div> <B> <img src="HTMLobj-1021/aniGif.gif" border="0" align="bottom" width="240" height="240">  </B></div> <bR> <div> The ads or links below are sponsored by Google and are not associated with this website.</div> <bR> <bR> <div>  <script async src="//pagead2.googlesyndication.com/pagead/js/adsbygoogle.js"></script>  <ins class="adsbygoogle" style="display:inline-block;width:728px;height:90px" data-ad-client="ca-pub-6731814818024580" data-ad-slot="2649392181"></ins> <script> (adsbygoogle = window.adsbygoogle || []).push({}); </script>  </div> <bR> <bR> </td> </tr></table></body>