Limited Edition Print Order Form [ INTERNATIONAL ] This Order Form allows you to place an order and purchase prints without using a credit card. Payment methods are: Bank Transfer, Cheque or Money Order. If you would like to purchase online using your Credit Card, please go to our Secure Online Store. For purchases made within Australia, please use our Domestic Order Form. Prices are displayed in US Dollars. Freight charges of $45 (paper) or $75 (canvas) have been included in Print Quantity Price. Your Details Full Name: Name of person making payment Address: This is where your order will be delivered   Post/Zip Code: Suburb: City: Country: Australia Abkhazia Afghanistan Aland Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Ascension Island Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Figi Finland France French Polynesia Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Nagorno-Karabakh Nambia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Cypress Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Pridnestrovie Puerto Rico Qatar Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, United States Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe -- Please Select -- Contact Phone: + (country code) (area code) (phone number) Mobile/Cell Phone: No spaces between numbers Email Address: Order confirmation will be sent to this email address Your Order - click on images to enlarge Afternoon Contemplation Image Size: 66 x 42cm Edition Size: 250 $315 USD Print Qty x 1 = $360 x 2 = $675 x 3 = $990 more more info Bamboo Bear Image Size: 55 x 74cm Edition Size: 250 $315 USD Print Qty x 1 = $360 x 2 = $675 x 3 = $990 more more info Blue Shutters Image Size: 53 x 68cm Edition Size: 250 $315 USD Print Qty x 1 = $360 x 2 = $675 x 3 = $990 more more info Bougainvillea Rhapsody Image Size: 55 x 64cm Edition Size: 250 $315 USD Print Qty x 1 = $360 x 2 = $675 x 3 = $990 more more info Crimson Mormon Image Size: 150 x 76cm Edition Size: 50 $845 USD Print Qty x 1 = $920 x 2 = $1840 x 3 = $2760 more more info Ebony Beauty Image Size: 55 x 74cm Edition Size: 250 $315 USD Print Qty x 1 = $360 x 2 = $675 x 3 = $990 more more info Edwards Fritillary Image Size: 121 x 91cm Edition Size: 50 $755 USD Print Qty x 1 = $825 x 2 = $1650 x 3 = $2475 more more info Fiery Image Size: 76 x 121cm Edition Size: 50 $655 USD Print Qty x 1 = $730 x 2 = $1460 x 3 = $2190 more more info Luna Image Size: 121 x 91cm Edition Size: 50 $755 USD Print Qty x 1 = $825 x 2 = $1650 x 3 = $2475 more more info Madame Butterfly Image Size: 121 x 91cm Edition Size: 50 $750 USD Print Qty x 1 = $825 x 2 = $1650 x 3 = $2475 more more info Night Dancer Image Size: 56 x 81cm Edition Size: 250 $315 USD Print Qty x 1 = $360 x 2 = $675 x 3 = $990 more more info Odyssey Of Colour Image Size: 85 x 85cm Edition Size: 100 $540 USD Print Qty x 1 = $585 x 2 = $1125 x 3 = $1665 more more info Pipevine Image Size: 76 x 121cm Edition Size: 50 $655 USD Print Qty x 1 = $730 x 2 = $1460 x 3 = $2190 more more info Polydamas Image Size: 76 x 121cm Edition Size: 50 $655 USD Print Qty x 1 = $730 x 2 = $1460 x 3 = $2190 more more info Poppy Fields Forever Image Size: 70 x 100cm Edition Size: 100 $540 USD Print Qty x 1 = $585 x 2 = $1125 x 3 = $1665 more more info Sensuality Image Size: 81 x 56cm Edition Size: 250 $315 USD Print Qty x 1 = $360 x 2 = $675 x 3 = $990 more more info Sunset Plumes Image Size: 50 x 74cm Edition Size: 250 $315 USD Print Qty x 1 = $360 x 2 = $675 x 3 = $990 more more info The Awakening Image Size: 54 x 74cm Edition Size: 250 $315 USD Print Qty x 1 = $360 x 2 = $675 x 3 = $990 more more info * Should you wish to purchase more than three prints of a particular Limited Edition, simply choose 'more' on the drop down menu and make a comment in the 'Comment Box' giving the title of the print and the quantity you require. *All Limited Editions are signed and numbered by Susanna and issued with it's Certificate of Authenticity. Payment Details Payment Method details will be sent to your nominated email address with your Order Confirmation. Select Payment Method: Direct Deposit Cheque Money Order