DAY FOR NIGHT MODELWORKS
ORDER FORM
Item Order# Qty Each Total
           
           
           
           
           
           
           
           
           
           
           
           
           
           
ORDER SUBTOTAL  
SHIPPING to US Customers ($3.00US + 8.5% of "Order Subtotal")  
SHIPPING to Canadian Customers ($3.35CAD + 8.5% of "Order Subtotal")  
TOTAL THIS ORDER  
Payment Options:
(1) Send form, and include cheque or money order (made out to Mike Senchuk), to:
Mike Senchuk, 13715 Woodcroft Avenue, Edmonton Alberta Canada, T5M 3M3.
(2) Email order to mike@qazam.com, and transfer appropriate amount to mike@qazam.com using Paypal.
Shipping Information:
Name:  
Address:  
City:  
State:  
Zip Code:  
E-Mail Address: