Order Form
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I wish to buy the following catalogues
Catalogue: _________________________________________________ Cost: $_________ *Note: $2.00 will be added for shipping & handling Quantity: __________ Total: $_________ : Name: __________________________________________________________________ Address: ________________________________________________________________ _______________________________________________________________________ Phone: _________________________ I will be paying by: (circle one) Charge my: (circle one) Visa Email: _______________________________ Credit Card American Express
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Name on Credit Card: _____________________________________________________ Card Number: ___________________________________________________________ Exp. Date: ________________ ________________________________________________________ Signature Date
Please fax or mail back this form to us. Fax:: 305-348-2762 Mail: Frost Art Museum Florida International University University Park PC 112 11200 SW 8th Street, Miami, FL 33199
The Patricia & Phillip Frost Art Museum . Florida International University T. 304-348-2890 E. artifno@fiu.edu W. wwww.frostartmuseum.org