Please print out this form - Fill it in - Mail to address below:

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Name: ___________________________________________________________________

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Street address: ___________________________________________________________

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City or Town: ___________________________     Zip Code _____________________

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Phone # ________________________________     Cell Number: _________________

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E-mail Address: __________________________________________________________

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Describe the item you wish to purchase: __________________________________
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                                                              Mail to: 

GreenWood Gallery of Maine

998 Old Danville Rd.

Auburn, Maine 04210

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We will call to provide you with the total cost of your order

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If you have any questions please feel free to contact GWG at 207-782-5118