Robert J. Wilkinson -
Print out Order Form

Two ways to order:
1. Print and complete the order form, or copy details, and post with your cheque
or money order to: Robert J. Wilkinson,

5420 Wildwood Road
Courtenay. BC V9J 1P5.

2. Phone to discuss with Robert -  Ph.#. +1 250-897-3150

We will: a. Acknowledge receipt of all orders.
b. Advise you when your order is shipped.
Normally shipped within 7 working days of receipt of payment.


 Print: Exhibition and Title:
 [ eg. Landscape   -   sea dance ]

[ eg 1 ]

Piece Size:
[ eg. 11" x 11" ]

Price: $CAD:
[ eg. $350 ]
Shipping and insurance: Is already included.
Attached is cheque or money order made payable to
Robert J. Wilkinson, for the following amount:
Total: $
   Please complete these details:

Your name:
City & State:  
Zip code & Country:  
Phone number:  
Fax number:  
Email address:  
Signature & date:  


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