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Publications Order Form

DESCRIPTION - Please select from the menu below	QTY	TOTAL





SUBTOTAL
Canadian Residents Only add 5% GST
BC Residents Only add 7% PST on Calendar orders only
TOTAL (Canadian Funds)

Postage and Handling charges will be added to your credit card invoice when known. If you would prefer to pay by cheque or money order, please contact the Gallery directly. Please make cheque or money order payable to Marion Scott Gallery.

PLEASE COMPLETE THE FOLLOWING TO COMPLETE YOUR ORDER
BILLING
Credit Card		Shipping Method
Cardholder Name
Card Number
Expiration Date	(MMYY)

SHIPPING		SPECIAL INSTRUCTIONS
Name
Title
Organization
Address
City		Home Phone
State/Province		Work Phone
Zip/Postal Code		Fax
Country		E-mail