Mail Order Form

MAIL ORDER FORM

NAME:

SHIPPING ADDRESS:

EMAIL ADDRESS (for confirmation of purchase):

QTY

NAME OF PRINTS YOU WISH TO PURCHASE
SIZE OF PRINT
PRICE OF PRINT

TOTAL:

PRICES ARE IN US CURRENCY AND INCLUDE SHIPPING AND APPLICABLE TAXES.

PLEASE INCLUDE YOUR CHECK, MONEY ORDER OR BANK DRAFT FOR THE TOTAL AMOUNT AND MAIL TO:

KOEHLER STUDIO & GALLERY
R.R. 4 CAMBRIDGE, ONTARIO
CANADA N1R 5S5

THANK YOU FOR YOUR ORDER.
PLEASE ALLOW TWO WEEKS AFTER RECEIPT OF YOUR ORDER FOR DELIVERY.