Artspace 05 Order Form

Name  
Mailing Address  
Phone #  
Email address  
   

Item Description

Price
   
   
   
   
   
   
   
   
   
   

Sub total

  

GST

  

PST

  

Shipping

  

Total

  
Method of Payment:                ___Cheque    ___Money Order     ___Other  

Make payable to Artspace 05
Enclose payment with this order form and mail to: 

                             Artspace 05 ,   558 - 23rd Street,   Courtenay, BC   V9N 6W8

On cheque orders, orders will be shipped once cheque clearance has been verified.