Print this form - then fill it in.

"I Am Not Gone" 5x7 Framed Print

Shipping in American Dollars- Per Frame

Shipping in
Canadian Dollars - Per Frame

Email me for postage costs on orders to be
mailed to countries outside of Canada & the USA.

$15.99 X ___ = ____

$ 5.00 X ___ = ____

$ 6.00 X ___ = ____
Total
===================

Choose Your Color(s)

Purple ___


Green ___


Brown ___


Blue ___


Black/Silver ___



Name

_________________________________________

Address

_________________________________________

City

_________________________________________

Prov/State

_________________________________________

Country

_________________________________________

Postal/Zip Code

_________________________________________

Email Address
_________________________


Please note: Orders from Canada and the USA may be paid by Personal Check or Money Order. Orders outside of Canada and the USA, must be paid by "International" Money Order. Please email me for postage costs on orders that will be mailed to destinations outside of Canada and the USA. Make check or Money Order payable to: Terri McPherson

Enclose payment and mail to:

Terri McPherson Buckley
115 Brush Crescent
Amherstburg, Ontario CA N9V 3Y5



Print out the Order Form, Fill it in, Send the completed Order Form
along with your payment to the address on the form.


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