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Print, then complete, mail or fax  this form to Picture Express (address and toll free fax number below)

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:
Fax # or E-mail:

For order confirmation, please supply a fax number or e-mail address.

Signature:
P.O. #

QTY

 CODE

DESCRIPTION

  PC  or Mac? *

UNIT PRICE

TOTAL

                                     

     

                           
                            
                           

Please indicate Mac or PC when ordering Picture Express Kits.  Thank you.

  
Print and Picture Express Software Order Total      
Mail 4682 Cruickshank Avenue **Shipping & Handling   
to: Courtenay, B.C., Canada    Subtotal: Add Order Total to Shipping & Handling   
Or V9N 8T5 GST/HST: On Subtotal; for Canadian Residents only, 6%   
Fax to: (toll free in N. A.): 1-877-339-0459  PST: On Subtotal; for B.C. Residents only, 7%   
   (elsewhere):       1-250-338-5274 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 $8 for shipping; $50-$300 add 10% of Order Total. $300 + add 5% of Order Total. Orders

 outside of North America add 15%.

 

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Privacy Statement:  At Picture Express, we take our Customers' privacy very seriously.  We will never sell or

                                otherwise distribute Client information to any party without prior explicit written approval

                                from the Customer.