Order Form

To order prints by Scott Radke, please print this page, fill out the following information, and mail check and order form to:

Scott Radke

1014 Fairfield Ave #1

Cleveland, OH 44113

Prices include shipping and handling: 11X14 $25, 16X20 $45

Title of Print (from webpage) Size of print (matted) 11X14($25) or 16X20($45)

Quantity

Item Price:

$25 or $45

Total

TOTAL

Name:______________________________________________________________________________________

Address:____________________________________________________________________________________

City_________________ State_________ Zip_____________ Phone_______________

If shipping address is different than above, please specify:

SHIPPING ADDRESS:

Name:______________________________________________________________________________________

Address:____________________________________________________________________________________

City_________________ State_________ Zip_____________

If you are interested in purchasing original artwork, please contact Scott Radke for pricing and availability: (216) 241-9363