ORDER FORM(Please use one of the methods below)

1. Print Form and fax. (Visa only) 1-780-460-0656
2. Print Form and mail.(Visa, money orders, *cheques accepted) address listed below
3. Order thru Phone (Visa only) 1-780-460-0656
4. Order thru email: nod@lavoiestudios.com

NAME____________________________________________________________________

ADDRESS _________________________________________________________________

CITY ________________________________PROVINCE/STATE______________________

P.C./ZIP _______________________________ DAYTIME PHONE _____________________

RUNAWAY BEN POSTER $20x____

12"x18" PRINT $20 x ____ PRINT TITLE(S):_________________________________________

_________________________________________________________________

Total Order=$__________ + $4.95 (S&H) = $______________

circle item(s)

"JOB 40:15" Limited Edition $125 - "Rebeccas Catch" Limited Edition $65

"Prelude to the Fair" Giclee Print $1195 - "Farewell at Dusk" Giclee Print $625

Total Order=$__________ + $19.95 (S&H) = $______________

FAX: 1-780-460-0656

PHONE: 1-780-460-0656

ADDRESS: Lavoie Studios, RR#2, St.Albert, AB, Canada, T8N-1M9