Purchase & Shipping Agreement

You May e-mail Your Order or:
Fill in this form, PRINT OUT and MAIL to the address below.)

I am enclosing payment for the Print(s) titled:


#1 ___________________________ #2____________________________

#3 ___________________________ #4____________________________ each

Personal Check___ International Money Order___ VISA___

VISA#______________________________________

Expiry date_____________ Signature_______________________


$18.00 to Ship Flat?--YES--(please circle)--NO---Total amount: _______________

Make International Money Orders / Personal Checks out to: Michael Swanson

Mail to:
MICHAEL SWANSON 449 Mt. Pleasant Road
BRANTFORD, ONTARIO CANADA Zip: N3T-5L5
Phone: (519) 752-116

May we use your name for reference * yes * * no *
We will NOT sell your information for mailing lists etc!
© 2000 Artistpix / Swanson Studios Inc. all rights reserved
Buyer's Address and SHIPPING INFORMATION
( Please Print Clearly, This will be your Shipping Label)
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Name:_________________________________________________


Address:______________________________________________

______________________________________________

______________________________________________


Phone_________________ Fax_______________ E-mail_____________________