Request Form

Dear Ms.Little, I have visited your website and found your work to be inspiring. I would like to commission you to complete a Encaustic art picture Poem   The subject I have in mind is:- You may contact myself for further details on this matter. My details are as follow:- Name: Address: Post Code: Telephone: Please date and sign after printing: Date: Signature:

Please enclose payment with request form. Cheques made payable to Ms.D.Little