Collector's Edition Request:
Please
send to ____________________________________________
Address _________________________________________________
City/Town_______________________________________
Prov./State _______________________________________________
Postal/Zip Code____________________
Home Phone ____________________________________
Bus. Phone _____________________________________
Email address ____________________________________________
Fax. Number ____________________________________
Website address if applicable_______________________________________________________
No. of copies requested ____________________________________
Amount Enclosed _________________________________
Please advise us if you need your copies for a special event such as a birthday, Christmas, Chanukah, anniversary or any other occasion and we will make every effort to meet your requirements.
Cost per each copy is $20.00 Canadian
plus handling and shipping as follows:
Canada Orders: $26.75 Canadian funds includes all
taxes Handling and Shipping
included.
USA and all International: $25.00 US funds. Handling and shipping included.
To order via regular mail please make your money order or cheque payable to: LAURENCE CHERNIAK and send to:
LAURENCE CHERNIAK,
117 Cedar Valley View Road,
Hanover, Ontario, N4N 3B8. Canada.
or place your order by fax
519-364-0001
For wholesale inquiries, quantity purchases or any other questions, please send us an e-mail to:
info@laurenceCHERNIAK.com
Date order received_________________________________________
Date shipped______________________________________________
