FRIENDS OF WEST KOOTENAY PARKS

Box 212

Nelson, B.C. V1L 5P9

ORDER FORM - "SLOCAN CHIEF CABIN" LIMITED EDITION PRINT

                                                               Total

  Quantity______ @ $275.00ea ___________

   Add 7% PST (BC Residents Only)________

   Shipping and Handling                        $15.00 

   Grand Total (Cdn Funds)

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PAYMENT METHOD:        Cheque or Money Order____    VISA____    MasterCard____

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Your numbered copy of the "Slocan Chief Cabin" print will be shipped to you in a 3"x32" mailing tube, complete with a biography of the artist, Les Weisbrich. If you wish to be notified of the shipping date, please include your email address below. Please note that orders paid by cheque will not be shipped until the cheque has cleared. To facilitate shipping, please pay by money order or credit card if possible.

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