Order Form

George J. Goodstadt, Inc.
P.O. Box 479
Ridgefield, CT 06877
Phone: 203-438-4716

To send this form via e-mail; please fill it out and click on the "SEND" box at the
bottom of the form. If you do not want to send your credit card number via e-mail,
please print out this form, fill it out manually, and fax it to us at 203-431-8712.

Information

Name:     

Address:  

City:        State:     Zip: 

Phone:
    Day:     

    Evening:

Please send me the following catalogs:
Toulouse-Lautrec. . . . . . . . . .$5.00
Al Hirschfeld. . . . . . . . . . . . . .$5.00
Huhsien Peasant Paintings. . . . . . . $1.00
Calder FCC Lithographs. . . . . . . . . . . $1.00
Price information on Apollo XIII & XIV. . .N/C
Price information on other art available. . . . . .N/C

Please enter any comments or questions here:

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