Niagara Fine Arts

Fax or Phone Order Form

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Print out this form, fill in details and Fax to (905) 468 8216

OR

Telephone Your Order to (905) 468 1744

E-mail conformation is required for telephone orders at, finearts@vaxxine.com

Name..............................................................................................................Date.........................

Address............................................................................................................................................

Telephone No.......................................

Delivery Date Required................................

Delivery Name and Address (if different from above).....................................................................

.....................................................................................................................................................

Your e-mail address.......................................................................................

VISA Credit Card Number.............................................. Total Amount US $......................

Expiry Date.......................................................

Signature..........................................................

Delivery 10 - 14 days,

 Consignee to pay any applicable duties.

You will receive e-mail confirmation of your order within 24 hours.


SUMMARY OF ORDER
QuantityStock CodePrice per ItemDescriptionTotal
     
     
     
     
     
     
            Grand Total US$  

Thank you for your order