Art Studio Ambiantique

Order Form for Art Studio Ambiantique
(805) 341-6825

(Please fill in a separate Order Form for every portrait)

Customer's full name:

Street Address:



Zip Code/Postal Zone:


Phone Number:

E-mail Address:

Portrait Specifications: (Please refer to our Price List for details)

Medium (Paper or Canvas):

Material (Dry Oil, Watercolor, Oil, or Chalk):

Coloration (B&W, Sepia, Color, or other*):

*Other Coloration:

Size (14"x20", or 19"x26", or Custom*):

*Custom Size:

Content (Single Head Portrait, or Other*):

*Other Content:

For Custom specifications and other comments, please provide as much information as possible.
We may contact you to clarify the details.

The section below will help us identify the best painting style and technique for your portrait.
Please fill in this section after reviewing the samples on our website contained in the Portrait Gallery.

1) Which portrait(s) was/were most appealing to you? Please provide letter(s) and number code(s).

(example: BM1)

2) What in particular did you like about those portraits?

I affirm to commission a portrait with the specifications provided above , and request Art Studio Ambiantique to initiate work on my art project.

I understand that a hand painted portrait represents the artist's perception and vision, thus it is a unique creation that cannot be measured by objective measures.

I understand the terms and conditions of this transaction and I agree to pay billed amount for the project.




Note: When you click the SUBMIT ORDER FORM button below, an E-Mail message containing the contents of the order form (in computer code) will automatically appear. Before you send this E-Mail message to us, you may wish to attach the image file(s) of the photograh(s) that you will be mailing to us, along with a signed copy of this Order Form (see "How to Order").


Date: ___________________________

Signature: ______________________________________________


--------------------------- Section below to be filled out by Art Studio Ambiantique ---------------------------

Representative: _________________________________

Project price: ___________________________________

Shipping and Handling Fees: ______________________

Total Project Price: ______________________________

Date: __________________________________________

Signed by: ______________________________________