Artwork Order Form

Gallery Jamel is open Tuesday-Saturday
10:00 a.m. to 5:00 p.m. E.S.T.

 Visa MasterCard

Want to contact us with a question or make payment arrangements? Fill in the form below and we will contact you as soon as possible (please note that we're closed Sunday & Monday).

Please provide the following billing/contact information:

Name:

  

Street Address:

  

Address (cont.):

  

City:

  

State/Province:

  

Zip Code:

  

Country:

  

Work Phone:

  

Home Phone:

  

E-mail:

  

Please check box if you would like to be placed on our mailing list.

Supply shipping information if different from above:

Name:

  

Street Address:

  

Address (cont.):

  

City:

  

State/Province:

  

Country:

  

 Zip Code:

  

Work Phone:

  

Home Phone:

  

E-mail:

  


Please provide the Title(s) and Artist Name(s)
of the Art you are interested in:
Title: Artist:
 
 
 
 
 

 

 

Call: (301) 870-6570 -(800) 685-2635
Write to: Gallery Jamel
  12102 Old Line Centre
Waldorf, MD 20602
E-mail: artinfo@galleryjamel.com