Fax or mail form for Prairie Wings by David Carter.

Fax Order form for "Prairie Wings"

Printer Friendly Form

David J. Carter
Box 39
Elkwater, AB. Canada.
T0J 1C0

Or fax it to: (403) 893-2470

Please call before sending a fax. No collect calls, and please do not send cash through the mail.

Name: _________________________
Phone: _________________________
E-mail: _________________________
Shipping Address: _________________________
Street or Box number: _________________________
City: _________________________
Province or State: _________________________
Country & Postal Code:_________________________

Qty: ________ Cost: ____(At $35.00)
Subtotal: ________________

Add:
1)Shipping within Canada: ________________ ($11.00 per item)
   OR
2)Shipping USA: __________________ ($12.00 per item)
   OR
3)Shipping Outside North America (Surface):___________________($13.00 per item)

Total Cost: _______________ (Amounts are in Canadian funds)

Method of Payment:
    Cheque:__
    Money Order or Cashier's Cheque:__