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HMCSNAVYSHIPS ORDER FORM
Print this Form and mail with your cheque or money order to:
Dizzy Lou's Books & Prints
16 Towerview Court
Lantz, Nova Scotia, Canada B2S 1N8
OR    phone 1-902-883-4433
Visa, Mastercard, Cheque or Money Order

SOLD TO SHIP TO
Name
 
Name
 
Address
 
Address
 
Province/State          Postal/Zip Code
 
Province/State          Postal/Zip Code
 
Email Address
 
Email Address
 

YOUR ORDER - prices are shown to the left of each image

QTY PRINT TITLE M/F COLOUR* PRICE** TOTAL
         
         
         
         
         
         
  * Click here for matting/framing colour choices
  ORDER TOTAL                 
 
  TOTAL PAYMENT                 
 
Visa #, Mastercard #
 
Expiry date (MM/YYYY)
 
  OR make cheques payable to Dizzy Lou's Books
  ** All prices are in Canadian dollars - Allow 4-6 weeks for shipping.