COMMISSION on the STATUS of WOMEN

"Changing the Portrait of Leadership One Woman at a Time"
              

Painting Order Form

Please print this form, fill out and mail, with payment, to the address below.

Name: ________________________________ (Required)
Ship to: ________________________________ (Required)
________________________________ 
City _____________ State ___ Zip _____ (Required)
Phone: ___________________ (Required)
       
Total Quantity:
8 1/2 x 11= $6.00 __________________
18 x 24 = $12.00   __________________
        
Total Amount Due: _____________
Total Amount Enclosed: _____________
       
Method of Payment:  Payable to "UNT Commission on the Status of Women"
___ Cash ___ Check ___ Money Order ___ Purchase Order ___ IDO
Mail to:  University of North Texas; Division of Equity and Diversity; P.O. Box 310937; Denton, Texas  76203


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Last Updated February 06, 2007


Comments or Questions?
Contact Gina Seybert at gseybert@unt.edu