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Send form with payment to:
    
Pallas*Trine, PO Box 137, Sooke, B.C., Canada, VOS 1N0

ORDER DATE: __________________________________

SOLD TO:

Name___________________________________________________________________

Address_________________________________________________________________

City_________________________Province__________________Postal Code_________

E-Mail Address___________________________________________________________

SHIP TO:  (if different from above)

Name___________________________________________________________________

Address_________________________________________________________________

City_________________________Province__________________Postal Code_________

ORDER INFORMATION: Please circle prices based on your shipping destination.

Canada U.SA. International
_____ Guidebooks @ $28.00 $30.00 $32.00 = $_____________
Each book contains one Trail Map.
_____ Trail Maps @ $ 12.00 $12.00 $12.00 = $_____________
Maps can be purchased separately.
Total = $_____________

All orders are shipped via standard first-class surface mail within 48 hours of receipt of payment. If you would like your order shipped by another method, you can email (pallas@islandnet.com) to inquire about additional shipping methods and charges, or use the "Additional Information" section of this form to specify your preferred shipping method and authorize us to charge the additional shipping charges. [NOTE: If you choose the later, we will not charge the additional costs until we have notified you of the extra shipping charges and you have confirmed the total order amount.]

PAYMENT METHOD:  All payments must be in CANADIAN Funds and made payable to Pallas*Trine.

Certified Cheque or Money Order attached ________

Credit Card: Visa____ MasterCard_____

    Credit Card Number:__________________________________

    Expiry Date:_____/________/ 
Use MM/YYYY format.

    Cardholder Name:____________________________________

    Signature:__________________________________________

Additional Information:_______________________________________________________

____________________________________________________________________________