Commission Portrait Works

Please fill out the form below to commission your Portait Works.

Note: A $150 deposit is required for your commission.

Your Name:*
	Delivery Address
Street Address:*
Suburb:*
State:*
Post Code:*
Country:*

Phone Number:*
Mobile Number:
Fax Number:
Email Address:*
Child's Name:	(if applicable)
Child's Age:	(if applicable)
Theme of Artwork:*
Type of room where artwork will feature:*
Aspect of room where artwork will feature:
Colours:*	Select Color Select Color Select Color Select Color Select Color
Would you like a Gold, Silver or Bronze accent?:*
Preferences for a Collage: (additional costs apply) (Your fabrics may be posted to WFYH)	Beads Glitter Decorative Tape Ribbons Diamonties
Orientation of Canvas:*
Portrait Size/Type and the Cost:*
General Comments/Instructions:
	Note: Please send up to 5 photos of the room to assist me to get a better understanding of what you require, you can do so by emailing them to . If the photos are too large to email, you can use the free service at YouSendIt.com to get them to me.