CUSTOMER
& SHIPPING INFORMATION
Name ______________________________________________________________________
Address ___________________________________________________________________
City
__________________________________ Province/State
_______________________
Country
(Canada or U.S. only) ______________ Postal Code/Zip Code
________________
E-Mail (optional)
_________________________________________________________
BOOK
ORDER
Canada
Order ________ copies of GLitcH! book x $11.95 Cdn. =
Or, U.S. Order ________ copies of GLitcH! book x $7.95 U.S.
= |
$ _______________ |
Shipping
Costs: $2.50 Canada
or $3.50 U.S. |
$ _______________ |
| TOTAL
- Add the above amounts = |
$ _______________ |
METHOD
OF PAYMENT
Payment by (Select one): (Cheque____
) (Money Order____ ) Or, use Paypal link at top.
Please enclose
cheque or money order with order form. Do NOT send cash through
the mail.
Remember
to include your cheque or money order and mail to:
GLITCH!
GRAPHICS - Book Order
10431 - 83 St., Edmonton, Alberta, Canada T6A 3P2
Please
allow 1-2 weeks for shipping. Thank you
for your order.
