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Ripple Effect Printable Mail Order Form:

Name:                              _______________________________

Street Address:               _______________________________

City:                                   _______________________________

Province/Postal Code:    _______________         _____ - _____

Telephone:                        _______ - ________ - _____________

Email Address:                 _______________________________

        Title/Year              Price*:    Number of copies:     Subtotals:

Wordscapes 200___         $15 Cdn.     x     ______           =          ___________

Wordscapes 200___         $15 Cdn.     x     ______           =          ___________

Shipping & Handling  ($2.50 for first copy, $1.00/additional copy)  ___________

*GST is included in price.                                                                 TOTAL:    ___________

Send completed form and payment (cheque or money order) to Ripple Effect at:

 P.O. Box 2836 STN Terminal / Vancouver, BC / Canada / V6B 3X2