I wish to purchase ____ copy(s) of the Hiostorical Album, popular edition, at a cost of $ 40.00 each, PST included.
I wish to purchase ____ copy(s) of the Historical Album, Deluxe edition, at a cost of $110.00 each, PST included.
If the book is to be sent via Canada Post, add $5.25 handling charges per book.
Included is a cheque or money order for the amount of ____ in the name of Historical Album Committee Check here if you want it (them) delivered by mail:( ____ ): Check here if you will pick it (them) up:( ____ ) Name: ...................................................................................................... ADDRESS: .............................................................................................. CITY: .............................................................. PROVINCE........................ COUNTRY........................................................CODE POSTAL : .............. TELÉPHONE #: (home).............................................................................. (office).............................................................................. SIGNATURE : ............................................................ DATE : ................... |