DARREN'S ON-LINE ORDER FORM


"THOUGHTS AND EXPRESSIONS - Vol 1"
(_____) Check here to order ...............................................................#________ x $ 5.00 = __________

"THOUGHTS AND EXPRESSIONS - Vol 2"
(_____) Check here to order ...............................................................#________ x $ 5.00 = __________

"THOUGHTS AND EXPRESSIONS - Vol 3"
(_____) Check here to order ................................................................#________ x $ 5.00 = __________

"THOUGHTS AND EXPRESSIONS - Vol 4"
(_____) Check here to order ...............................................................#________ x $ 5.00 = __________

"THOUGHTS AND EXPRESSIONS - Vol 5"
(_____) Check here to order ...............................................................#________ x $ 5.00 = __________

"THOUGHTS AND EXPRESSIONS - Vol 6"
(_____) Check here to order ................................................................#________ x $ 5.00 = __________

"THOUGHTS AND EXPRESSIONS - 25 Years"
(_____) Check here to order .................................................................#________ x $ 11.50 = __________

"THOUGHTS AND EXPRESSIONS - The Book"
(_____) Check here to order .................................................................#________ x $ 25.00 = __________

.........................................................................................................Sub-TOTAL...............$__________

.........................................................................................................Shipping ........................$ 5.00

.........................................................................................................TOTAL COST ...........$__________


Please complete the following:

Name: _______________________________________________________________

Address: __________________________________________________________________

Town/City: ____________________________ Province/State: ___________________________

Code: ___________________________

*e-mail address: ___________________________ or *Phone #: ______________________________

*(For confirmation purposes only)

Please Make Certified Cheque or Money Order, In Canadian Dollars, payable to "Darren Parberry"
Thank You For Visiting. Come back soon!
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PLEASE PRINT THIS FORM AND MAIL IT TO:
10-6 Greenbrook Drive, Toronto, Ontario, Canada, M6M 2J9