Portrait Form
Please regularly check your Junk mail for my emails regarding deposits.
Your Name
*
Your E-mail
*
example@example.com
Your Contact Number
*
Date Required if needed by a certain date
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Month
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31
Day
Please select a year
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1924
1923
1922
1921
1920
Year
Size of Portrait
*
Please Select
5x5"
7x5"
10x8"
16x12"
16x12" (two pets)
16x12" (three pets)
name/s:
Type of Animal
*
Please Select
Dog
Cat
Rabbit
Guinea Pig
Horse
Bird
Goat
Sheep
Cow
Reptile
Other
Person added
Gender of animal
*
Male
Female
Multiple
Medium
Coloured Pencil
Graphite
Images
Add image
*
Browse Files
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of
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*
Browse Files
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of
Add image
*
Browse Files
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of
Notes or Suggestions.
Pick up from Youngtown (TAS) or $15 Postage.
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