Order Form

	Brice Miller Galleries
	603 Holston Avenue
	Elizabethton TN. 37643
	423-542-4467

Painting
Original Print SubTotal

Tea for Two
$ 700.00

$200.00

Madonna and Child II
Sold $225.00

Mrs. Law's Tulips
$1650.00 $225.00

Tulip Tree in a Blue Vase
$1650.00 $225.00

Life, Death and Imortatility... Sold $275.00

Easter Lilies Sold $325.00

Flowers with Golden Pots $1650.00 $325.00

Lilies with Golden Lights $1650.00 $325.00

Jar of Happiness Sold $450.00

Flowers in A Chinese Vase Not For Sale       $225.00

View from Big Hill Road $ 850.00 $275.00



Please provide the following information so we may process your order. You will be contacted for payment and verification of Shipping address.
All Price are in US dollars.

Please contact jcbmiller@charter.net for prices on shipping outside of the US.

First Name: Last Name:

   Address1: Home Phone:

   Address2: Work Phone:

         City:   State: Zip:

Painting	Original	Print	SubTotal
Tea for Two	$ 700.00	$200.00
Madonna and Child II	Sold	$225.00
Mrs. Law's Tulips	$1650.00	$225.00
Tulip Tree in a Blue Vase	$1650.00	$225.00
Life, Death and Imortatility...	Sold	$275.00
Easter Lilies	Sold	$325.00
Flowers with Golden Pots	$1650.00	$325.00
Lilies with Golden Lights	$1650.00	$325.00
Jar of Happiness	Sold	$450.00
Flowers in A Chinese Vase	Not For Sale	$225.00
View from Big Hill Road	$ 850.00	$275.00

Please provide the following information so we may process your order. You will be contacted for payment and verification of Shipping address. All Price are in US dollars. Please contact jcbmiller@charter.net for prices on shipping outside of the US.
First Name:	Last Name:
Address1:	Home Phone:
Address2:	Work Phone:
City:	State:	Zip: