Art Order Form

Print off and complete this page.

Make cheque or money order payable to Kaarina Brooks. All orders must be prepaid.
Price includes postage and handling (there is no tax).

Send to:

Kaarina Brooks
6205 Third Line Essa
R.R. #2
Alliston, ON L9R 1V2
Canada

TEL: 705-435-2786
email: brooks@csolve.net

___ copies of Print # _____ @ $50.00 ...................... $________

___ copies of Print # _____ @ $50.00...................... $________

___ copies  of Print # _____ @ $50.00 ......................$________

Total Amount Enclosed....................................... .......$________

Enclose the following information with your cheque or money order.

Name: _______________________________________________________

Address: ____________________________________________________

City: _______________________________________________________

Province/State: ___________ Postal Code/Zip: ________________

Country: _____________________