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Order Form

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Please print this order form and fax it to (705) 767-2450

Name of the Print
Limited Edition OR Artist Proof $
Taxes apply to Canadian orders only
P.S.T. Provincial Sales Tax 8% = $
G.S.T. Goods and Services Tax 5s% =

$

Add Shipping

Canadian Orders =contact artist
$
U.S. Orders = contact artist
$
$

Customer

Name
Address
 
City postal code/zip
phone home other
e-mail

Payment

Cheque Master Card Visa
Card number
Expirey Date
Name on card
Date of the Order

 

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Joel Rendall & John Murden
& Updated by John Murden

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