Reserve My Portrait Form

If you have any questions about commissioning a portrait, please click the ‘General Contact info’ tab and get in touch.

Download / view a printable version of this form.

All fields are required on the form.

    Your Name:

    Address 1:

    Address 2:

    Town / City:





    Contact Tel:


    Description of portrait type and style: NaturalCaricature

    Style: PencilWatercolourPastelDigital AirbrushOilDon't Mind

    Digital Copies from original: UnmountedMountedFramed

    Number of copies:

    Approximate size (length X depth) when mounted and framed:

    If other than Hampton Mayfair frame, briefly describe what type and colour of mount and frame you require:
    Please allow minimum 21 days from receipt of order confirmation. (Type 'n/a' if you do not require this option)


    I accept the cost of £ quoted on this website and will send
    50% depositComplete payment using the details at the end of this form.


    Upload up to 3 images - Max 3MB each (at least 1 Image required) - Accepted formats: jpg, jpeg, tiff, pdf, gif, png.

    It can take a few minutes for the form to send depending on the file size of your images. Please don't close or move from the page until you get confirmation that your details have been submitted.

    Any other information you want to add. (type 'n/a' if not applicable).

    Details you submit through this form will not be passed on to anyone else, without your express permission. Your details won't be added to any mailing lists without your permission. Messages you submit via this form are sent to Roger who stores any details he needs to keep. Please use the form to contact Roger if you have any questions about how your data is treated.

    Please tick the box below to confirm you are happy with the site terms

    Please note: if paying 50% deposit in advance, the balance will be required before the portrait is sent to you.
    Make cheques/ Postal Order payable to:

    Roger Chouler
    Rochart, 69 Harlech Road, Abbots Langley, Herts WD5 0BE United Kingdom.

    For online banking, please credit RB Chouler: Sort code 20-91-79 Account: 60712124

    Full refund within 14 days if you are not completely satisfied. Original must be returned in perfect condition.

    Exclusions: Drawing images which contain excessive nudity, erotica, racism or indecency. Roger Chouler reserves the right to refuse portrait reservations if request is in breach of legislation or if it is deems the request to infringe copyright, or denigrate the subject.