ORDER FORM


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

"SUMMER DAYS"


 1. Swimming Lessons with......................

 2. Name.........with..............Hamburgers
 
 3. Capt'n.........................Cruises

 4. ...............................Clam Chowder

 5. ...............................Farms

 6. ...............................One man band

 7. ...............................name of town, bay or beach

 8. ...............................boat Rental

 9. ...............................name on boat

10. ...............................Place

11. ...............................Homemade Pickles

12. small message like "HI"

13. ...............................live bait


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.

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