Order Form

Print this form and mail it completed with your check or money order in Canadian Funds to:
Mary Elizabeth Lauzon
32 Dalzell Place NW
Calgary, AB T3A 1H6

Print clearly; this is your mailing label.

Name _________________________________

Address ________________________________________________

_________________________________________________

_________________________________________________

Phone number in case I have to contact you about your order ____________________________

Description	Quantity	Unit Price GST Incl.	Total
Birthday of Life (CD)		20.00
The Kisses of His Mouth (soft cover)		12.00
All Plaques		25.00

Payment Method (Do not send cash.) __ Check __Money Order (No Credit Cards) Payable to: Mary Elizabeth Lauzon	Subtotal
	Mail	4.00
	TOTAL

For faster service email Mary Elizabeth

Catalogue

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