MAIL ORDER FORM Please print out & send check or money order or contact: Guernica Gallery P. O. Box 4605 Santa Barbara, California 93140 805-966-9231 805-966-9707 (fax) info@guernicagallery.com www.guernicagallery.com [Return to Home Page]   (click on title for image of poster)   [Return to Hank Virgona] Hank Virgona Poster 16 x 20 inches (signed & unframed) $50 each Qty ____    Sub Total ______ TOTAL: $______ (US shipping, handling & California tax included, allow 4 to 6 weeks for delivery) (for International shipping Guernica Gallery will contact you with charges) Date ___________ Name ______________________________________________ Company Name ______________________________________________ Address ______________________________________________ City, State, Zip ______________________________________________ Telephone _____________________________ Fax _____________________________ Email _____________________________