To order, please complete and mail the order form to:

Laity Renewal Foundation
Attn: Sherry Harmel
P. O. Box 290670
Kerrville, TX 78029-0670

Order:
Quantity    
________ Blue Hole 16"x22" canvas @ $100.00 + $10.00 shipping $______________
________ Blue Hole 9"x12" paper @ $ 20.00 + $ 5.00 shipping $______________
________ A Way Home 18"x24" paper @ $100.00 + $10.00 shipping $______________
________ A Way Home 9"x12" paper @ $ 20.00 + $ 5.00 shipping $______________
Subtotal $______________
Prices include sales tax $______________
Total $______________
Please send Print(s) to:
Name:
_____________________________________________________________________________________
Address:
_____________________________________________________________________________________
City, State, Zip:
_____________________________________________________________________________________
 
Payment Method:
Enclosed is check payable to Laity Renewal Foundation.
Please charge to:
VISA
MASTERCARD
Card #:
__________________________________________________________________________
Exp. Date:
__________________________________________________________________________
Signature:
__________________________________________________________________________
   
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