Please provide the following ordering information:

  Total Quantity Ordered

  Subtotal Cost (Quantity x $35.00)

  Packaging & Shipping, $5 (Foreign: add $5)

Prints damaged through mailing will be exchanged.  No refunds.

Total Amount $  

First Name       
Last Name       
Address Line 1  
Address Line 2  
City                
State            
Country         
Zip Code         
Phone Number

Email Address

Print this page and mail with money order or cashiers cheque (no personal checks) to:

C. D. Rogers Contemporary Designs
3322 Anson Street
Charlotte, NC 28209

Please allow 4 to 5 working days to receive order.