| Order Form |
| I try to use the most economical shipping as possible |
| Name ( as on credit card) Address Apt. City State/Province Country Postal/Zip Code Telephone ( )- - Ext. Fax ( )- - PLEASE PRINT CLEARLY IN ALL AREAS* Circle PAYMENT TYPE [A]check/cheque [B]money order [C] VISA [D] Master Card card number - - - - - expiry / |
| Order selection |
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| Print Title |
| Price each Quantity [ ] Total without taxes |
| Ontario residents ONLY add 13% H.S.T. |
| Make funds payable to: GORDON DRYSDALE |
| 61 Ravina Ave. Garson, Ontario, Canada, P3L1C2 |
| PRICES ARE IN CANADIAN DOLLARS TO CANADIAN DESTINATIONS AND AMERICAN DOLLARS TO U.S. DESTINATIONS |
| PRINT & MAIL, OR FAX (705) 693-1317 THIS FORM WITH YOUR *PAYMENT TYPE |
| You may also FAX your VISA order to GORDON DRYSDALE at (705 ) 693-1317 |
| Gordon Drysdale Art |
| Most prints are packaged and shipped FLAT |
| Other Provinces ONLY add 5% G.S.T. |
| Combined total ( ) with taxes |
| Price each Quantity [ ] Total without taxes |
| Price each Quantity [ ] Total without taxes |
| Print Title |
| Print Title |