Giclee Fine Art Printmaking 1123 Gaskins Road, Suite 500, Richmond, VA 23238 TEL: 804-754-8271 - FAX 804-754-8322 Toll Free: 1-800-260-1948 Print this form and send with your order (If submitting multiple images please attach a spec sheet) Or click here to request our HERITAGE GICLEE INFORMATION PACKET

Contact Name: __________________________________________________________
Company:______________________________________________________________
Address:_______________________________________________________________
City:__________________________________________ State:_______ Zip:_________
Country:_______________________________________________________________
Telephone:____________________________ Alternate Phone:____________________
Email:________________________________ Fax:_____________________________
Resale#_____________________________ 

Title of Artwork:________________________________________________________
Submitted as: ___Original Artwork ___ 4"x5" transparency, ___8" x 10" transparency, ___Digital File
Indicate paper type or canvas:_______________________________________________
___Grand Format ___Small Format ___Tres Grand Format (check one)
Final image dimensions desired:______________________________________________
Margins (white space or border):_____________________________________________
Print Quantity:___________________________________________________________
Remove Signature:   Y__     N__
Special Instructions:_______________________________________________________
______________________________________________________________________
______________________________________________________________________

Payment Terms:
Payment in full must be received with your order. We accept Visa, MasterCard, AMEX,  personal checks and money
orders. We ship most proofs via USPS first class. Finished work is shipped via FedEx.

Make all checks payable to: Staples Fine Art or provide credit card information below.
__Visa __MasterCard #__AMEX#__________________________________ Expiration____________
Card Holders Name:_________________________________________________________________

Limits of Liability:
Submission of any materials such as film, photos, digital files or original artwork to Staples Fine Art constitutes
an agreement by the client that any damage or loss incurred will only entitle the client to replacement with a like
amount of raw materials, unexposed film, or digital media. Except for said replacement, our acceptance of the
artists images and materials is without warranty or liability.

_______________________________________ _______________
Artists Signature & Date: (required)

___________________________________

1. Include your name, mailing & shipping address, phone numbers and email address if available.
2. Send your original artwork or a film transparency (4”x5” or 8”x10”)
    or send a digital file on a CD or Zip disc (Windows/PC format). When sending transparencies of your artwork please 
    remember that we will color match to the transparency and if it does not look like the original your print will 
    also not look like the original. Examine each transparency carefully before sending them to us. (You may also send digital 
    files via the internet to our FTP site.)
3. A reference name or number for each image.
4. Media type (i.e. Somerset paper, Plein Air paper, Arches, Canvas).
5. Format. (Grand format for 34“x46“ master sheet) (Small format, 17“ x 24“ master sheet)
    (Need larger sheets? Inquire about 42” x 60” format)
    Note: Small format image files are not upward compatible.
6. Size of desired image or # of prints per sheet.
7. Margin (white space) around the print.
8. Number of finished sheets. (if ordering more than what is included in the setup fee.
9. A check for the estimated amount due. We also accept Visa, MasterCard & American Express.

The following sample layouts may be helpful in planning the number of prints per sheet.
The master sheet size is figured for the Arches 34” x 46” sheet.
Grey area is the actual image size and assumes a 1” border.