Colored pencil artist

942, Des Érables, Saint-Eustache, Qc.

Phone: (450)472-6744

grafimage@videotron.ca

 

Date:

Customer : Street :

City: Province: Postal Code:

Telephone : Extension : Fax :

E-mail : Web site:

Purchaser:

 

Please indicate each number of card's model in appropriate case and also indicate quantities and prices in each column.

 

 

 

Please indicate the text number of wishes which you chose on web site in that case or write your own text.

$ 0,22 for each sold card will go to Opération Enfant Soleil