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"Melody of Youth" Lithograph Order Form
Return to the IUAA Jill Behrman page
Lithograph Information
Canadian painter Rajka Kupesic was moved by Bloomington's outpouring of love and concern at the disappearance in May 2000 of IU student and beloved daughter, sister and friend, Jill Behrman. Kupesic, whose son attends IU, created the celebratory painting, "Melody of Youth", to express her admiration for the Behrman family, the community and Indiana University.
Orders may be submitted by printing and submitting the form below by mail or FAX.
Indiana University Foundation
Attn: Kupesic Lithograph
Showalter House
State Road 45/46 Bypass
Bloomington, Indiana 47408
Office Hours: 8 am - 5 pm (Mon. - Fri.)
FAX: (812) 856-9079
Please complete this form if you would like to own "Melody of Youth" by Rajka Kupesic. The proceeds from my purchase will go toward the Jill Behrman Scholarship Fund.
Personal Information
First Name:
Middle Name:
Last Name:
Street Address:
Street Address 2:
City:
State/Province:
ZIP/Postal Code:
Daytime Phone:
(including area code)
Evening Phone:
(including area code)
E-mail:
Order Information
Public Orders:
prints at $100 each = $
IU Student Orders:
prints at $50 each = $
Shipping:
FREE
Total:
$
Delivery Options:
Please deliver to the above address.
I will pick up my lithograph at the IU
Foundation.
Please deliver to:
Payment Information
Payment Method:
Visa
Mastercard
Send a check (made out to IU Foundation /
Jill Behrman Scholarship Fund)
Cardholder Name:
Card Number:
Expiration:
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2008
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Signature (if paying by credit card):
__________________________________________
Please Read
Note:
Because this transaction is a purchase, it is not tax-deductible. However, any additional contributions made to the Jill Behrman Scholarship Fund are tax deductible.
Special "Melody of Youth" Framing Offer from The Framing Guild
The Framing Guild's owners, Ron and Judy Mansell, have generously offered to help The Jill Behrman Scholarship Fund when they frame your lithograph.
Take your "Melody of Youth" lithograph to The Framing Guild for framing and they will contribute 15% of the materials costs (e.g. frame, matting, glass) to the Indiana University Foundation to benefit The Jill Behrman Scholarship Fund.
The Framing Guild
421 East Third Street/Bloomington/336-2039
(Colstone Square. Corner of Third and Dunn)
Monday - Friday 9AM to 6PM. Saturdays 9AM to 5PM.