Contact Details, Enquiry Form & Feedback Questionnaire

The form comprises four sections, Contact Details, Original Painting &
Print Orders, Commission Enquiry and Site Questionnaire. To move up and
down the form use the links which will take you to the start of each section.
Please complete the sections suitable for your enquiry and send me the
form by pressing the 'Submit' button. To clear the form of all entries
press the 'Reset Form' button.

|Commission Enquiry |Questionnaire|

Contact Details - only needed for a commissions enquiry

Please fill out this form, so I'll know how to reach you. Thanks!

Mr. Mrs. Ms.
First name:
Surname (last name):
Address 1:
Address 2:
Town-City:
County-State:
Postcode-ZIP Code:
Country:
Telephone:
e-mail Address:

|Contact Details |Questionnaire |

Commissions Enquiry Details
Enter a description of the painting you would like.

Please clasify your image as the following:


Medium you would like used for your painting:
Acrylics Watercolours Oils Pencil

Approximate size of the painting before framing: (in centimeters)
40x30: 40x50: 50x60: 60x70: 60x80: Other:

If you measure in Inches try my Centimeter converter
Simply put the centimeter size in and it will calculate the inches for you.

Image width Image Height
Centimeters
Inches Click Here To Calculate

Would you like me to frame it? (UK only-quoted seperate)Yes: No:

The date the painting is ideally required by:
Can you suppy photographs of the subject to be painted?Yes: No:

Thank you for your enquiry. I will forward a preliminary quote shortly and, should this be satisfactory, contact you by phone to discuss your
commission in more detail and finalise a charge for the work.


|Contact Details|Commission Enquiry|

Questionnaire
Contact Name (if not entered in the contact detials):

e-mail Address (if not entered in the contact detials):


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|Contact Details|Commission Enquiry|Questionnaire|