To order your signed and numbered copy of "The Crossing December 1776" painting, print this form, fill it out, and mail it to:

The National Museum of the American Revolution Visitors Center
Washington Crossing State Park
355 Washington Crossing-Pennington Road
Titusville, NJ 08560

Indicate the quantity of prints desired in the following formats:

Qty Print Format Run Price Each Shipping & Handling, Each
      
Print only, 18" x 26" 500 $175.00 $15.00 (tube)
      
Framed print, 25" x 33" 500 $325.00 $75.00
      
Framed print on canvas Giclee, 26" x 32" 100 $525.00 $75.00

Shipping Address:

Name ______________________________________________________

Address ____________________________________________________

City ______________________________ State _____ Zip ____________

Daytime phone ( _______ )  _____________________

Payment Method:

      
Check (make payable to "The National Museum of the American Revolution")
      
Visa
      
MasterCard
      
American Express

Total amount $__________________

Card Number ________________________________________________

Expiration Date __________________

Signature ____________________________________________________