gustafmiller.com              email: gus@gustafmiller.com            telephone: 772-321-6176
PURCHASE FORM
Your name:
Your phone number:
Comments:
GUSTAF  MILLER ART
Your name:
*
ADDRESS
*
ART WORK TITLE
*
PURCHASE PRICE
7% SALES TAX IF
Florida Residents
Questions  or  comments
If art work is returned shipping paid
by customer
.
customer