Order Form

3920 Shaker Court, Montclair, VA 22026 703-730-1424 (phone or fax) NoVA KOI email Web Order Form please print this form to fax or mail

Name________________________________________________ Phone________________
Street ____________________________City ___________________ State____ Zip _______

Specialty Koi Art Note Cards...
...8 designs w/ envelopes
...individually wrapped in a clear envelope
...size approx. 3" x 4 1/2"
...8 cards per set

# of sets __________ @ $22.95 per set __________
# of cards __________ @ $3.50 per card __________

Christmas Koi Cards...
...8 designs w/ envelopes
...individually wrapped in a clear envelope
...size approx. 3" x 4 1/2"
...8 cards per set

# of sets __________ @ $22.95 per set __________
# of cards __________ @ $3.50 per card __________

Mini Prints...
...unframed - individually wrapped in clear envelope
...Sizes vary - approx 7" x 13" ea
...five designs per set

# of sets __________ @ $54.95 per set __________
# of prints __________ @ $12.95 per print __________

Limited Edition Prints...
...unframed - individually wrapped in clear envelope
Circular Flow - Triptych ...Size approx. (paper) 22 ^5/8" x 24"
Ascending I ...Size approx. (paper) 24" x 18"
Rotating I (parts I & II)...Size approx. (paper) 13" x 20"  Sold Out
Inquisitive...Size approx. (paper) 26" x 21"
Centripetal...Size approx. (paper) 17" x 13"
The Circle...Size approx. (paper) 17" x 13"
Colour Procession - Giclee...Size approx. (paper) 27" x 22"
Centripetal - Giclee on canvas...Size approx. (paper) 34" x 24"Special Order
Fry & The Circle - Giclee on canvas...Size approx. (paper) 24" x 34"

Circular Flow - Triptych   # of prints __________ @ $299.95 per print __________

Ascending I   # of prints __________ @ $79.95 per print __________

Inquisitive    # of prints __________ @ $139.95 per print __________

Centripetal   # of prints __________ @ $109.95 per print __________

The Circle   # of prints __________ @ $109.95 per print __________

Colour Procession - Giclee    # of prints __________ @ $350.00 per print __________

Centripetal - Giclee on canvas    # of prints __________ @ $575.00 per print __________

Fry & The Circle - Giclee on canvas    # of prints __________ @ $575.00 per print __________

East Meets West Limited Edition Prints...
...unframed - individually wrapped in clear envelope
Trio 1 ...Size approx. (paper) 25" x 19"
...unframed - individually wrapped in clear envelope
Trio 2 ...Size approx. (paper) 25" x 19"
...unframed - individually wrapped in clear envelope
Triplett Blue...Size approx. (paper) 25" x 19"
...unframed - individually wrapped in clear envelope
Triplett Black...Size approx. (paper) 25" x 19"
...unframed - individually wrapped in clear envelope
Yin Yang 1...Size approx. (paper) 19" x 19"
...unframed - individually wrapped in clear envelope
Yin Yang 2 ...Size approx. (paper) 19" x 19"
...unframed - individually wrapped in clear envelope
Quintet ...Size approx. (paper) 29 ^1/2" x 19 ^3/4"

Trio 1   # of prints __________ @ $99.00 per print __________

Trio 2    # of prints __________ @ $99.00 per print __________

Triplett Blue   # of prints __________ @ $99.00 per print __________

Triplett Black   # of prints __________ @ $99.00 per print __________

Yin Yang 1   # of prints __________ @ $99.00 per print __________

Yin Yang 2   # of prints __________ @ 99.00 per print __________

Quintet   # of prints __________ @ $139.00 per print __________

Limited Edition Black & White Etchings...
...unframed - individually wrapped in clear envelope
Utsurimono ...Size approx. (paper) 7" x 14" Sold Out
Face to Face ...Size approx. (paper) 12" x 9"
Head to Tail ...Size approx. (paper) 15" x 8"
F...ish ...Size approx. (paper) 10" x 13"

Face to Face # of etchings __________ @ $109.95 each __________
Head to Tail # of etchings __________ @ $109.95 each __________
F...ish # of etchings __________ @ $109.95 each __________

			Sub-Total	__________
			5% VA sales tax (if applicable)	__________
			15% Shipping	__________
			Total (US $)	__________

Circle Method of Payment

Name on Card ______________________________

Card Number ______________________________

Expiration Date __________

home page...

Last Updated: 8 December 2006
WebMaster: Wayne S. Orchard
Artwork © Keith Siddle, England
Website © 1997 - 2006 NoVA Koi

# of sets __________	@ $22.95 per set	__________
# of cards __________	@ $3.50 per card	__________

# of sets __________	@ $54.95 per set	__________
# of prints __________	@ $12.95 per print	__________

Circular Flow - Triptych # of prints __________	@ $299.95 per print	__________
Ascending I # of prints __________	@ $79.95 per print	__________
Inquisitive # of prints __________	@ $139.95 per print	__________
Centripetal # of prints __________	@ $109.95 per print	__________
The Circle # of prints __________	@ $109.95 per print	__________
Colour Procession - Giclee # of prints __________	@ $350.00 per print	__________
Centripetal - Giclee on canvas # of prints __________	@ $575.00 per print	__________
Fry & The Circle - Giclee on canvas # of prints __________	@ $575.00 per print	__________

Trio 1 # of prints __________	@ $99.00 per print	__________
Trio 2 # of prints __________	@ $99.00 per print	__________
Triplett Blue # of prints __________	@ $99.00 per print	__________
Triplett Black # of prints __________	@ $99.00 per print	__________
Yin Yang 1 # of prints __________	@ $99.00 per print	__________
Yin Yang 2 # of prints __________	@ 99.00 per print	__________
Quintet # of prints __________	@ $139.00 per print	__________

Face to Face # of etchings __________	@ $109.95 each	__________
Head to Tail # of etchings __________	@ $109.95 each	__________
F...ish # of etchings __________	@ $109.95 each	__________