[LillaLand]

Totem Shield Order Form

Please fill in the appropriate boxes

First Name:
Last Name:
Shipping Address
Street:
City:
State:
Country:
Zip Code:
E-Mail:
Phone:



Original Art - TOTEM SHIELD (Unframed)

Sales tax included. Add $10.00 for shipping and handling.
Large $325 Small $225
Which animal would you like on your Totem Shield?

Laser Print - WOLF TOTEM SHIELD (Unframed)

$20.00, sales tax included. Add $2.00 for shipping and handling.
I would like (how many) prints.

Please send check or money order payable to:

Lilla Luoma
P.O. Box 244
Valley Ford, CA 94972

Please allow 2-3 weeks for delivery.



Original Art/ Laser Prints Order Form Spirit Shield Order Form
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