orderform

Gordon Drysdale Art

Order Form

I try to use the most economical shipping as possible

PRINT & MAIL, OR FAX (705) 693-1317 THIS FORM WITH YOUR *PAYMENT CHOICE

Name ( as on credit card )

Address                                                                   Apt.                 City

State/Province                                          Country                                 Postal/Zip Code

Telephone (         )-            -                               Ext.                 Fax (        )-            -

E-mail

                                                                PLEASE   PRINT CLEARLY IN ALL AREAS
*PAYMENT CHOICE [   ]check/cheque [   ]money order [   ]VISA Expiry date compulsory

VISA number -            -             -             -            - expiry     /

Order selection

PRICES ARE IN CANADIAN DOLLARS TO CANADIAN DESTINATIONS
AND AMERICAN DOLLARS TO U.S. DESTINATIONS

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