Name

First Name

Last Name

Email Address

Your Billing Address, line 1

Your Billing Address, line 2

City, State, Zip/Postal code

Phone Number

Dimensions of Painting

Background Color

You may be as loose or as specific as you want to here – such as "a warm tone" / "blue" / "turquoise" / Pantone 320 / etc.

I would like to receive my painting by

Would you like your painting to be gift-wrapped?

Name of Recipient of your Painting (if not you)

Address Line 1 of Recipient (if different from your billing address)

Address Line 2 of Recipient (if different from your billing address)

City, State, Zip/Postal Code (if different from your billing address)

Special Instructions/Questions for Jessica

Thank you for all that information. Now you just have to pay for this thing and then you get to start waiting excitedly for its delivery!