To:
Arty Art Gallery LLP
Miss May Thanda Oo
V Box 881797
Singapore 919191
Fax No.
+ 65 6491 5207
From:
Name:.........................................................................................................................
Address:......................................................................................................................
Postal Code:................................................................................................................
State/City:....................................................................................................................
Country:.......................................................................................................................
Fax No:.......................................................................................................................
Tel..............................................................................................................................
E-mail: .........................................................................................................................
Order:
Name of Artist:..............................................................................................................
Title of Artwork/code: ....................................................................................................
Price of Artwork:...........................................................................................................
Cost of Shipping and Insurance (see information on previous page):...................................
Total Costs:..................................................................................................................
Conditions:
Art works which are damaged upon arrival may be returned to Arty Art Gallery LLP
and the amount paid will be returned to the customer.
Paintings will be sent by courier (DHL) service if other mode of transport
has not been indicated.
Payment options:
[ ] Transfer of Money (bank to bank)
Payment transfers should be made to:
A/C name
A/C no
Bank no./code
Branch code
Swift code
Name of Bank
Address of Bank
: Arty Art Gallery LLP
: 350-369-378-8
: 7375
: 001
: UOVBSGSG
: United Overseas Bank Ltd.
: 80 raffles Place, UOB Plaza 1, Singapore 048624
[ ] Check
Payment checks payable to:
A/C name
A/C no
Mail to
Phone
: Arty Art Gallery LLP
350-369-378-8
: Miss May Thanda Oo
V Box 881797
Singapore 919191
: 65-92332771
: artyart@artyartgallery.com
[ ] Credit Card
I authorize Arty Art Gallery LLP to charge my
[ ] AMERICAN EXPRESS [ ] VISA [ ] MASTER CARD [ ] JCB [ ] SCB CARD
Name of Cardholder:...................................................................................................
Credit Card no.
The last three digits of the seven digit number on the signature panel at the back
of my VISA or MASTER CARD are:
Or, the four digits on the front panel above the card number
of my AMEX card are:
Expiry Date:..................................................................................................................
Total Amount, Including Added Mailing Costs (in SGD):................................................
Cardholder's Signature:..............................................................................................
Date:..........................................................................................................................
Please complete this form and send it, by fax or mail, the order form fully
completed in capital letters to the address above