Painted Lady Gallery
Book Order Form

Please print this page and mail with your check or
money order to the address shown below.

  Price Each Qty Total
"Pretty Ladies" Soft Cover $15.00    
"Pretty Ladies" Soft Cover - Autographed $40.00    
Shipping Charges ($5.50 for first book, $1 for ea. addl. book) $5.50    
Total Amount Enclosed      

Ship to:



City_____________________________ State__________ Zip____________

Please make your check or money order payable to Jack Henslee and mail to:

Jack Henslee
7050 Glenview Drive #55
Fort Worth, Texas 76180

Most orders ship in 4 or 5 days via Priority Mail.