ORDER FORM
Please print out this Order Form, fill it out and send it to Martin Silverman.
Title Price
Seascape Collection
1. Tug Aqua, South Street Seaport, New York City $500
2. Marine Co. No.1, New York City Fire Department $500
3. Belle Cote, Cape Breton Island $300
4. Trawler, Greenport, Long Island $300
5. Selina II, Shelter Island, New York $300
6. Outlaw, Greenport, Long Island $150
7. Shipyard, Lunenberg, Nova Scotia $150
New York Collection
8. Memories of Childhood $500
9. Italian Festival $500
10. Susanna and the Elders $200
11. What do you think you're looking at? $200
12. The Playground $200
13. Bingo Every Sat Nite $200
14. Kitty Genovese and Thirty-eight People on Austin Street$400
Judaica Collection
15. 10:10 AM, June 2, 1902 $500
16. David Hides from Saul $150
17. Daniel 9:4-7, 19 $150
18. Psalm 69 $100
19. Job Lamenting $500
20. Micah $75
21. Issiah $50
22. Three Teachers $50
Religious Collection
23. The Ascension $150
24. Judgement Day $150
25. Adam and Eve $75
26. Conversion of Saul $75
27. Daniel in the Lions Den $50
28. Belshazar's Feast $50
29. The Three Fishermen $50
30. Luke 10:21 $50
31. Saugerties Light Station, Long IslandBlack & White $50
32. Saugerties Light Station, Long Island, Color $100
33. 14foot Lighthouse, Delaware Bay, Black & White $50
34. 14foot Lighthouse, Delaware Bay, Color $100
35. Pemaquid Point Light, Original Pen & ink Drawing $300
36. The rocks at Pemaquid Point Light, Original Pen & ink Drawing $300
37. Pemaquid Point Light, Original Pencil Drawing $400
38. House, Pemaquid Point, Original Pencil Drawing $400
38 & 39 $700
Please subtotal your order
NY State Residents, please add the appropriate sales tax for your area.
Add shipping and postage (see chart below)
Total
Per Order
Shipping and Postage U.S.
Prints 1 & 2 $ 4
Prints 3,4,5,8,9,10,15,16 $ 3
Prints 6,7,11,12,13,14,17-31 $ 2
Pencil signed & Numbered, on 100% Rag Paper.
____Check enclosed
____Please bill
Please make out check or money order to:

Martin Silverman
4848 North Lydell Avenue
Glendale, WI 53217
Phone: 1-414-962-4631

This order is from:
Name________________________________________________________________________

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City____________________________________State____Country___________Zip_________

Business Phone (_____)____________________Home Phone (_____)____________________

Ship to (if Different)
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Thank you For Your Order

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