MAIL ORDER FORM

Art # Qty. Total

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

___ X 4

Total

Step #1 Visit CarlsCustomKeychains.com to view the latest art and photo library.

Step #2Enter the desired art #’s in the rows on left. (Minimum order of 8 keychains in sets of 4)

Step #3 Complete form by totaling the quantity, tax, shipping, entering customer

information.

Step #4 Mail completed form

and payment to:

Countryside Art GalleryCarl Melichar 8020 Hwy 25

Mayer, MN 55360

Cost/Keychain Subtotal MN Sales Tax Shipping TOTAL

X $8 X 1.06875% + $4.50 $

952-657-2323

Customer InformationName _____________________________________________

Address ___________________________________________

City ___________________ State _______ Zip __________

Phone ____________ Email ________________ Date ____________

VIEW ONLINE

001 Yellow Lab with Pheasant002 Chesapeake003 Chocolate Lab Pup004 Black Lab with Pheasant005 Ringneck Pheasant006 Yellow Lab Pup007 German Shorthair with Pheasant008 Griffon009 Golden Retriever010 German Shorthair011 Black Lab & Car012 Ringneck Pheasant013 Vizsla & Ringneck Pheasant014 German Wirehair015 Black Lab & King Eider016 King Eider Swim017 King Eider018 Spectacled Eider019 Pacific Eider020 Steller Eider021 Canvasback022 Black Lab with Long-Tailed Duck023 White Wing Scotter024 Spectacled Eider025 Black Lab with Long-Tailed Duck026 Black Lab with Harlequin027 Old Squaw028 Canvasback029 Long-tailed duck030 Whitetail Buck031 Ringneck Pheasant032 Black Lab & Mallard033 Yellow Lab & Mallard034 Chocolate Lab & Ringneck Pheasant035 Liver & White Springer with Ringneck Pheasant036 Brittany & Ringneck Pheasant 1986037 Gordon Setter038 Brittany & Ringneck Pheasant039 Weimaraner & Ringneck Pheasant040 Chesapeake & Canvasback041 Black Lab & Canadian Goose042 Black Lab Pup with Decoy043 Golden Retriever with Pheasant044 English Setter (Orange & White)045 Griffon with Canvasback046 English Setter (Black & White)047 Whitetail Buck048 Grizzly Bear049 English Pointer050 Canvasback051 Bufflehead052 Beagle053 Malamute054 Yellow Lab & Mallard055 Black Lab & Ringneck Pheasant 1986056 Brown and White Springer Pup057 Black and White Springer & Ringneck Pheasant058 Tricolor Setter & Ruffed Grouse059 Brittany Pup060 Bulldog061 Bald Eagle on Branch062 Rottweiler063 Brittany Head Study064 Moose065 Yellow Lab & Ringneck Pheasant 1982066 Chocolate Lab & Mallard067 Black Lab & Ringneck Pheasant068 Chesapeake Bay Retriever069 Chesapeake Bay Retriever Swim070 Basset Hound071 Moose Head072 Gray Wolf073 Gray Wolf

074 Bald Eagle075 Canvasback076 Harlequin077 Ringneck Pheasant078 Black Lab & Wood Duck 1980079 Chesapeake & Goldeneye080 Golden Retriever081 Boykin Spaniel & Sharp-tailed Grouse082 Black Lab083 Ringbills084 Blue Heeler085 Spectaled Eider086 German Shorthair Head Study087 Black and White Springer088 Old Squaw089 Chocolate Lab Head Study090 King Eider091 Mallard Farm Creek092 Ringneck Pheasant093 Black Lab & Snow Geese094 Turkey095 Loon096 Holsteins097 Canadian Goose Head Study098 Horse099 Redhead100 Canadian Goose101 Chocolate Lab Pup102 Moose103 Turkey104 German Shorthair105 Turkey106 Goldeneye Duck107 Black and White Springer108 Moose109 German Wirehair110 Boykin Spaniel111 Spectacled Eiders112 Toller with Canvasback113 Canadian Goose114 Cavalier King Charles Spaniel115 Cocker Spaniel116 Red Setter117 Yellow Lab118 Elk119 Ringneck Pheasant120 Elk121 Caribou122 Whitetail Buck123 Cardinal124 Loon125 Racoon126 Old Squaw127 Black Lab & Ringneck Pheasant128 Caribou129 Ladyslipper130 Puffin131 Spectacled Eiders132 Canvasback Duck133 Canvasback Duck134 Steller Eider135 Leopard136 Sea Otter137 Bison138 Musk Ox139 Sharp-tailed Grouse140 Ptarmigan141 Grizzly Bear142 German Wirehair143 Rooster144 Bighorn Sheep145 Mountain Goat146 Harlequin

147 Cardinal148 Polar Bear149 Bluejay150 Bloodhound151 Bufflehead152 Black Lab & Bluebill153 Chesapeake with Goldeneye154 Golden Retriever & Ringneck Pheasant155 Bobwhite156 Whitetail Fawn157 Polar Bear158 Red Setter159 Golden Retriever 160 Red Fox161 Old Car162 German Wirehair163 Ruffed Grouse164 Iris165 Moose166 Ringneck Pheasant167 Walleye168 Chickadee169 Orca170 Glacier Bear171 German Wirehair172 Clydesdale173 Honey Bee174 Toller175 Toller & Canvasback176 Red Rose177 Red Rose178 Glacier Bear179 Black Bear180 Grizzly Bear181 Walrus182 Shih Tzu183 Shih Tzu184 Tufted Puffin185 Tufted Puffin186 Orca187 Musk Ox188 Caribou189 Black Bear190 Glacier Bear191 Sockeye Salmon192 Coho Salmon193 Halibut194 Chinook Salmon195 Honey Bee196 Monarch Butterfly197 Monarch Butterfly198 Indian Princess199 Owl200 Rottweiler201 Springer Spaniel w/decoy202 Nene Bird203 German Sheperd204 Wolverine205 Pileated Woodpecker206 Golden Retriever207 Australian Sheperd208 Hummingbird209 Hummingbird210 Llama211 Doberman Pinscher212 Cactus Wren213 Tiger214 Quail215 Cottontail Rabbit216 Snow Owl217 Holstein Calf218 Monarch Butterfly219 Monarch Butterfly220 Gordon Setter

Visit CarlsCustomKeychains.com to view all art listed below to create your order.