Cathy Miller
Order Form
TO ORDER BY MAIL, PLEASE PRINT
THIS PAGE AND RETURN IT TO:
Cathy Miller, 1464 Cranbrook Place,
Victoria BC V8P 1Z7 CANADA
or call us at (250) 370-7026.
Please make cheque
payable to CATHY MILLER.
Name:
___________________________________________________________________
Address:
_________________________________________________________________
City/Province/State __________________________ Postal
Code/Zip:__________________
Email:
___________________________________________________________________
Phone: ____________________________________ Fax:
___________________________
VISA/MC/AMEX Card# ________________________________________ Exp:
__________
Print name as it appears on card:
_______________________________________________
Signature:
_________________________________________________________________
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| Title | Quantity |
Price (CDN $) (US customers, see below) |
Total |
| Australian Shadows* (see below) | $10.00 | ||
| Hot and Cold - Mock Mola™ | $10.00 | ||
| Slow and Steady Turtle | $10.00 | ||
| Green Sea Turtle | $10.00 | ||
SUBTOTAL |
|||
HST (Canadian residents only) Subtotal x 12% |
|||
TOTAL |
|||
Note to Non-Canadian Customers:
US$ checks and money orders are
also accepted.
Sales by credit card will be charged in Canadian
dollars at current rate of exchange.
*Note about
Australian Shadows: If ordering before May 24 2012, please send an email
to cmiller@nucleus.com for
instructions.