Order Form

Reynolds Fine Art Services Limited
12 Kent Place
St. John's, NL, A1B 1V5 Canada
Phone: (709) 722-4546 Fax: (709) 722-2040

Applicable taxes, shipping, and handling will be added to price listed.
Print and fax or mail this form to order any work of art.
We'd be happy to send a polaroid of any work for a $3 charge.

Name: _______________________________

Address: ______________________________

Address: ______________________________

Address: ______________________________

City: _________________________________

Province/State: _________________________

Country: _______________________________

Phone number: __________________________

Fax number: ____________________________

VISA Number: __________________________

Expiry Date: ___________________________

Signature: ______________________________

Description: ______________________________________________________

Price: _________________________________

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