Order Form
To order, print this form, fill in the required information and mail to:
Martin De Leon
4201 West Rochelle Av. # 2167
Las Vegas, NV 89103
Please make checks or money order payable to: Martin De Leon

Name:

Address:

City:

State:

Zip:

Entretangos y Canciones

CD

$20

QTY

Timeless Tango

CD

$20

QTY

Astor - Acrilico en Canvas 24"x36"

Painting

$2000

QTY

Fueye - Acrilico en Canvas 48"x36"

Painting

$4000

QTY

El Gordo Triste - Acrilico en Canvas 24"x36"

Painting

$2000

QTY

Grand Total

$

Check Number_____________________________________
Bank Name________________________________________
For questions regarding your order please call 702.222.3097
Keep a copy for your records.
Thank you!