ORDER - PAYMENT FORM
To:
Fafagallery 
 
NO.1 XiangJiang North Road, Jing Shun Lu, ChaoYang District,  (Beijing  Riviera Country Club)
 
Beijing 100103, P.R.China
 
 
E-mail:
fafagallery@sohu.com
 
 bjfafagallery@sohu.com
 
 
From:
Name:
 
Address:
 
Postal Code:
 
State/City:
 
Country:
 
Fax No:
 
Tel:
 
E-mail:
 
 
Order:
Name of Artist:
 
Title of Artwork:
 
Price of Artwork:
 
Cost of Shipping and Insurance (see information on previous page):
 
Total Costs:
 
 
Conditions:
Art works which are damaged upon arrival may be returned to Fafagallery 
 
and the amount paid will be returned to the customer.
 
Paintings will be sent by courier (FedEx) service if other mode of transport 
 
has not been indicated.  
 
 
Payment options:
[  ] Western Union Money Transfer
 
[  ] Transfer of Money (bank to bank)
 
Total Amount, Including Added Mailing Costs (in US$):
 
Guest's Signature:
 
 Date:
 
 
 
Please complete this form and send it, by mail, the order form fully 
 
completed in capital letters to the address above
 

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