Print this form - then write in your order details. You Are A Miracle 8x10 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. $19.99 X ___ = ____ $ 6.00 X ___ = ____ $ 7.85 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. 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. www.WiseHearts.com