Please Print, Fill out and Submit
Name:___________________________________
Address:____________________________________
City:_____________________Prov./State:__________
Post./Zip Code___________
Ph.#:__________________Fax.#________________
E-Mail_______________________
Payment Method:___Cert.Cheque___Money Order____Pers. Cheque____Visa____Mastercard
If paying by 
or
Indicate
#________________________________________
Expiry Date:_________and Sign.
x________________________________________
The TOTAL sale price, including shipping, insurance, and taxes/duties, can be calculated using the form below. If there are any changes we will advise you prior to shipping.
Payment may be made by VISA, MASTERCARD, MONEY ORDER, CERTIFIED CHEQUE. If payment is made by Personal cheque shipment will be delayed 10 days from receipt of payment.
Special arrangements will be made for artwork commissioned from the artist, A non-refundable deposit is required at the time of the order. The balance being due upon completion. For further information contact Marc by mail, fax or phone.
Submit
order by mail to.... Marc Houde Art,
1210 Neptune Road,
Kelowna, B.C. V1X 3E6, Canada ....or Fax (250) 765-4872 or Phone (250) 765-8382.
Customers outside of Canada please contact by email for actual shipping costs mhoude@houdeart.bc.ca