ORDER FORM
Impressions by Kerry LLC
P.O.Box 2132
Flemington, NJ 08822
Tel: +1-908-998-2540
Fax: +1-908-212 1948
e-mail:wsring@impressions-by-kerry.com
Name: __________________________________
Address: ________________________________
Address: ________________________________
City:________________State:_______ZIP______

Phone: (___) ___-____ Ext______
Email:___________________________________
BILL TO:
PRINT ORDER FORM, FILL IN, THEN e-mail (scanned form), MAIL OR FAX
Name: __________________________________
Address: ________________________________
Address: ________________________________
City:________________State:_______ZIP______

Phone: (___) ___-____ Ext______
Email:___________________________________
SHIP TO:
Item Number #
Size
Description
Quantity
Unit Price
Total
           
           
           
           
           
Method of Payment
Pricing Your Order
Please use the table below for the pricing of an individual print or call us for current pricing information
We accept Checks or Money Orders for payment. These must be made payable to: Impressions by Kerry LLC. Once you
have received confirmation of your order, please send a check or money order together with your confirmation slip to the
address above.  Y
ou will receive a tracking number for your shipment once the order is processed.
Placing Your Order
Please fill in this form with the item number of the print, number of prints required and total for the print(s).  (This form
excludes Shipping and Handling charges which will be provided in the confirmation response). Please either e-mail
(Print & Scan form), mail or fax it to the number above.  We will review your order within 48 hours of receipt for availability
of the print(s) you have selected.

We will respond to your order with a confirmation e-mail/Fax or phone call.  This confirmation will include  cost for
insurance (if selected), shipping/Handling charges, the availability/confirmation of the selected print(s) and your total
order cost.

PLEASE DO NOT SEND ANY MONEY UNTIL YOU HAVE RECEIVED CONFIRMATION FROM OUR GALLERY ON THE ORDER.
Print Size
Dimensions
Price/print
A3
11.7 x 16.5 inches
See Website for Price
A3 plus
13 x 19 inches
See Website for Price
Please indicate whether you require insurance on the shipment  (Y/N) ___