Order Form  

To complete your secure online order, please enter your information below.  If you are purchasing artwork  or commissioning the  services of Vivian Westerman, Artist, please enter your information exactly as it appears on your American Express credit card statement.  Call Vivian Westerman at 504-366-5784 if you would prefer to place your American Express order on the phone.

First Name:                   

Last Name:                   

E-Mail:                          

Phone Number:             

Company:                      

Address:                        

 Apt/Suite                       

City:                               

State/Province:              

Zip Code:                       

Country:                         

Customer Shipping Information (if different from above)

First Name:                    

Last Name:                    

Company:                       

Address:                         

Apt/Suite                         

City:                               

State/Province:              

Zip Code:                       

Country:                         

All purchases are to be made payable to Vivian Westerman, Artist.  All commissions require photographs and a 1/2 nonrefundable deposit, i.e., $100.00 ($200.00) for caricature or charcoal portrait.

Sculpture

Bas-Relief

Personalized Caricature

Cartoon Publications (write to me your circulation figures, business status)

WildlifePainting

Commissioned Charcoal Portrait from photo

Fischer/Spassky Chess Prints

Special Commission (specify at length below)

  

Payment Method

I wish to use my American Express card to commission a caricature, charcoal portrait,  painting, sculptures, sculpture bust,  political cartoons,  or request special commission.  Commissions require 1/2 nonrefundable deposit and acceptable photos before work can begin.  This is a binding contract.

American Express Credit Card Number:

Amount:

Expiration Date: