Order Form

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Order Form

Thank you for your interest in our Shadows of the 22™ artwork.

Please complete the below form to submit your order request.

Name *

Street Address *

Apt, Suite, Etc.

City, State, Zip Code *

Email *

Phone Number *

Can the phone number provided above receive text messages? *

Yes

Desired Artwork (select all that apply)

Cost of Production: $75.00

Plus Minimum Donation: $100.00

Additional contributions accepted.

Shelf Art - Horizon

Wall Art - Patriotic

Wall Art - Horizon

Required

If ordering multiple pieces, indicate quantities below.

Ex. Wall Art - Horizon - 2 , Shelf Art - Horizon - 1

Please indicate any additional contribution you wish to make below.

Shipping Preference (select one) *

NOTE: Artwork is available for pick up and shipping on Fridays only.

Pick Up (Baraboo, Wisconsin 53913)

Ship (Additional shipping charges apply)

Payment Preference (select one) *

NOTE: Checks should be made payable to "Ketchum's Got Your Six".

Payment via PayPal

Payment at pick up - cash or check only

Ketchum's Got Your Six is a tax-exempt organization pursuant to Section 501(c) (3) of the Internal Revenue Code. EIN 82-2453261. No goods or services were provided in exchange for the contribution identified above as "Donation" and "Contribution".

A representative will be in contact via email with additional information upon receipt of your order form.

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