Order Form – Fearless Artiste

Name *

First

Last

Phone Number

Email *

Date *

Describe the topic of the painting. *

This helps me understand the most significance and focal point of the painting, what is important and where I can take some liberties!

What are your plans for your art piece: (Is this a gift?, family room, man cave, etc)

What colors do you associate with this piece.

What is it about my work that draws you to it.

Please list approximately 3 dates and times for a scheduled consultation with Kiersten.

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