ORDER FORM

To: Jenny Brahney
1 - 3430 St. Anne Street
Port Coquitlam, BC
V3B 4G4 Canada
Your name....................................
Address.......................................
....................................................
................ ....................................
Tel.:..............................................
Your e-mail: ..................................
.
Date: ....................

"Golf"

 1. ........................name with 'Academy of Golf' lower left      

 2. ........................name or business on a building

 3. ........................name or business on a building      

 4. ........................name or business on a building

 5. ........................name on the helicopter                 

 6. ........................name on the plane

 7. ........................name of person or city on the building           
 
 8. ........................name or business on a buiding

 9. ........................name or business on a building       

10.name ................for Restaurant: "Hole in the Pocket"

11.name ................for Special on Menue                          

12.name ................for Aquafit

13.name ................for Counselling service           

14.name ................for Safety Strap Rental

15.name ................for Golf Club Repair                       

16.name ................for Fortunes 

17.name ................for Pro Shop


Please include cheque or money-order for US$ 80.-. (Shipping and handling in Canada and the USA included)
Your picture will arrive within three weeks, ready for framing or laminating. Thank you.

back to "Selection Page"