Sportsshooter.ca E- Mail & Mail Order Form

Please complete the following form, print and
scan to e-mail or snail mail to address listed below.

Team Name or Event
Customer Name:

Address:
City: Prov.:            Postal Code:
E-Mail Phone#:   Fax#:

*Please calculate and input applicable tax and totals. This is not a self-calculating form.
*Please make cheque payable to Rob Weitzel Graphic Productions.
Image Num. Item Type Qty

Price

Amount
$ $
$ $
Image Num. Item Type Qty

Price

Amount
$ $
$ $
$ $
$ $
$ $
$ $

Photo Gifts
Any image ordered above can also be ordered as the following specialty items:

Image Num. Item Type Qty

Price

Amount
$ $
$ $

Sub-Total: $
PST (Sask 5%) $

GST 5%

 $

Total Due:

 $
Cardholder Name:
Payment Method:
Account #: 
Expiration Date:
Customer Signature: ____________________________

Mail to:
P.O. Box 3101 Stn. Main
Regina, SK    S4P 3G7