Order Form
Name
Mailing Address
City Prov.
Postal Code
Phone ( )
I would like to order:
Design How Many Natural Blue
Frog Mirror
Daisy Mirror
Butterfly Mirror
Sunflower Mirror
Ghecko Mirror
Tropical Fish Mirror
Bee Mirror
Lamb Mirror _______ _______ _______
Design How Many Natural Green
Sunflower Mirror
Cactus/Sun Mirror ________ _______ _______
* Don't forget to send along your $25.00 each Can/US cheque or money order to:
D Mighton
Box 846
Thorhild, AB
T0A 3J0
*price includes shipping/handling
(allow 3-4 weeks delivery)