FRONT LICENSE PLATE ORDER FORM
Please print and fill out this order form
I would like to order the following license plate/s:
The plates will cost $25 if bought individually or $100 for a set of
all five.
Please note there is a 5.00 shipping fee.
NM001-1 ___ Navajo Rug Louie Ewing
NM002-1 ___ The Old Cuba Road Wm. Penhallow Henderson
NM003-1 ___ Untitled (Cowboys and Indians) Nils Hoger
NM004-1 ___ Cycle of Science Raymond Jonson
NM005-1 ___
Governor Greets the People
Pablita Velarde
Method of Payment:
_____Visa _____MasterCard _____Check Enclosed
Credit Card Number______________________________________________________
Exp.________________________________ Code #________________
Amount___________
Signature_______________________________________________________________
Contact # or address______________________________________________________
Please send order to:
P.O. Box 602
Santa Fe, NM 87504-0602
Or Call 505-473-3985
Or Email: newdeal@cybermesa.com