 | Shamanic Portrait Printable Order Form Visa, MasterCard, Discover, American Express or personal checks (US only) are accepted. To order by mail using a personal check or credit card, print out the form below and mail it with your personal check (payable to Guiding Spirit Design LLC) or credit card information to: Guiding Spirit Design LLC, 345 Jug Hollow Road, Phoenixville, PA 19460, USA To order online by credit card: click here. |
Item |
Price |
Deposit Required |
Balance Due |
Purchase |
Size 1 Portrait (16" x 20") |
$1000 |
$500 |
$500 |
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Size 2 Portrait (20" x 24") |
$1800 |
$900 |
$900 |
|
Size 1 Chakra Portrait (16" x 20") |
$1000 |
$500 |
$500 |
|
Size 2 Chakra Portrait (20" x 24") |
$1800 |
$900 |
$900 |
|
Sizes may vary slightly due to the individual requirement, subject matter, shape of the portrait, etc., but the number of square inches will remain the same. Also, other sizes are available upon request. |
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Shipping Options (Choose one method, consult the charts below for rates, and add the appropriate amount in the "Purchase" column) |
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Standard (5-7 days) |
No Charge |
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FedEx Two Day Delivery |
$35.00 |
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International Delivery — For orders to Alaska or Hawaii, or international orders, please contact Customer Service at CustomerService@guidingspiritdesign.com, or (610) 933-4545 for current availability and shipping costs. |
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**Shipping addresses in Pennsylvania please add 6% sales tax. |
Tax** |
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Total |
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Your Information First Name: _______________________ Last Name: ____________________________ Street or PO Box: ____________________________________ City: ___________________________________________ State: __________________ Country: __________________________________ ZIP Code: ____________________ Daytime phone number, including area code: ( Best time to reach you at the above phone number: _____________________________ When the report from my journey is complete, I prefer to have it sent via: ____ E-mail: _______________________ ____ US mail to the above address Shipping Address (if different from billing address above) First Name: _______________________ Last Name: ____________________________ Street: ____________________________________ (Sorry, we cannot ship to a PO Box) City: ___________________________________________ State: __________________ Country: __________________________________ ZIP Code: ____________________ Payment Options ______ Visa ______ American Express Credit Card Number: _____________________________ Expiration Date: ___________ May I have your permission to charge the balance to the same credit card, or would you prefer to user another form of payment upon receipt of the artwork? _______________________________________________________________________ _______________________________________________________________________ Signature of cardholder: ___________________________________________________ Name and Address of cardholder (if different than purchaser) ______ Billing name and address same as purchaser name and address First Name: _______________________ Last Name: ____________________________ Street: ____________________________________ City: ___________________________________________ State: __________________ Country: __________________________________ ZIP Code: ____________________ |
) ____________________________Guiding Spirit Design Agreement Form The Shamanic Portrait is created from a spiritual method derived from traditional shamanic practices. These works of art are created to help inspire you to make choices that lead to a more harmonious life. I understand that the process of creating this portrait is not meant to be a replacement for psychotherapy or other traditional and/or western systems. I understand that Mia Bosna of Guiding Spirit Design is painting images from shamanic journeys which are taken on my behalf. I have commissioned her to create this portrait with this understanding. By signing below, you signify your understanding of and agreement with the above statement. _____________________________________________ |
A deposit is required in order to schedule your artwork, and the balance must be paid within five (5) days of receipt of the artwork.
Please make your check for the deposit payable to Guiding Spirit Design
Print and fill out this form, sign the Agreement, and mail with your check or credit card information to:
Guiding Spirit Design LLC 
345 Jug Hollow Road Phoenixville, PA 19460
mia@guidingspiritdesign.com