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Bill to -

Ship to - Same __ or:     
Name: Name:
Organization: Organization:
Address: Address:
City: City:
Province\State: Province\State:
Postal\Zip Code: Postal\Zip Code:
Phone: Phone:
Authorized by:

For order confirmation, please supply a fax number or e-mail address.
Signature:
P.O. #

QTY

 CODE

DESCRIPTION

   PC  or Mac? *

UNIT PRICE

TOTAL
                                     

     

                           
                            
                           
                          
                     
Print and Picture Express Software Order Total      
mail P.O. Box 1485 **Shipping & Handling   
to: Comox, B.C., Canada    Subtotal: Add Order Total to Shipping & Handling   
Or V9N 8A2 GST/HST: On Subtotal; for Canadian Residents only, 7%   
Fax to: (toll free in N. A.): 1-877-339-0459  PST: On Subtotal; for B.C. Residents only, 7.5%   
   (elsewhere): 1-250-339-0459 Total: Add Subtotal to GST/HST and PST  
For your convenience, we accept the following credit cards . Check the one you wish to use and fill in all required information  

Card Number:

 _____________________________________________________________________

Name On Card:

 ______________________________________ Expiry Date: ____________________

Signature:

 _____________________________________________________________________

*You can combine PC and Mac versions in one order to take advantage of the our volume discounts.  Simply

indicate how many of each type you require.  For example, an order for one of Code PES105 is for 5 Licenses

which could be made up of 3 PC and 2 Mac versions.

**Orders under $50 add $5 for shipping; $50-$300 add 10% of Order Total. $300 + add 5% of Order Total.

Do you have a website?  If you would like a link to your site to appear in a future version of the Picture Express web site, 

please supply the URL to your site here: _________________________________________________________________

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