Art by Maximillian von WeningRanch House Cafe Limited Edition Order Form

Order Your personal edition of The Ranch House Cafe Now!

Get your vehicle painted into The Ranch House Cafe

Fill out the form below and submit to Max to get your personal edition of the Ranch House Cafe with your "Ride" added. You can even add more than one car, truck, SUV, or motorcycle. Motor Homes may be too large for two, ever tried to park next to one in a crowded lot? Max will contact you personally by telephone within a short time after you send the form.

Complete the form entirely
Double check your entries
Use your "Tab" key to move to the next field. Shift+Tab to go back. The "Enter" may submit the form.
Print the form when complete, before you submit.
Submit the form using the submit button at the bottom of the form.
Be patient, sometimes it can take a few moments for the form to be sent.

Full Name:
Street Address:
City:
State:
Country:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Email:
Best Time to Call:
Web Address:

Vehicle #1

Year:   Make:   Model:   License Plate#: 
Car Color:   Do you have a picture of this car? Yes  No  Film type: 
Is your picture the way you want to see it in the painting?  Yes  No
Send A Picture Of Your Vehicle
NOTE... We DO NOT accept these files type: php,phtml,cgi,pl,asp,jsp,c,cfm,shtml,exe,bat,com,. And the attachment file size must lower than 500 Kb
Special Appearance Instructions

Vehicle #2

Year:   Make:   Model:   License Plate#: 
Car Color:   Do you have a picture of this car? Yes  No  Film type: 
Is your picture the way you want to see it in the painting?  Yes  No
Send A Picture Of Your Vehicle
 Please resend this form to send more then one photo. After submission use the "Back" button on your browser or Alt + left arrow to return to the form. You will then be able to add another picture as Vehicle #1.
Special Appearance Instructions

Vehicle #3

Year:   Make:   Model:   License Plate#: 
Car Color:   Do you have a picture of this car? Yes  No  Film type: 
Is your picture the way you want to see it in the painting?  Yes  No
Send A Picture Of Your Vehicle
 Please resend this form to send more then one photo. After submission use the "Back" button on your browser or Alt + left arrow to return to the form. You will then be able to add another picture as Vehicle #1.
Special Appearance Instructions
Painting size will be 22" x 28". If you require a different size indicate here:
Would you like a Frame? Yes  No
Number of Paintings:
Special instructions
Method of Payment:
When would you like delivery of your painting?
Before You Submit:
Check your entries, print this form for your records.
Only click the submit button ONCE!



    

Thank you!

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