ArtAfricanArt.com Mail Order Form
Print this form then click the "Buy Now" button beneath the items you want to purchase and fill out the form. Use the shipping chart to determine the shipping cost. You can pay by money order, check, print and enclosed with your check or money order and mail to address below

Item Number Qty Description Price Total
         
         
         
         
         
         
         
         
         
         
         
         
Shipping & Handling Chart (match your order total with the shipping amount) Sub Total:   $
up to $7.95 = $5.00 $7.96 - $19.99 = $6.50 $20.00 to $28.00  = $7.50 For BC ONLY add BC Tax -  14% of Sub Total:   $
$28.01 to $49.94  = $10.50     $49.95 to $74  = $12.50 $74.01 to $100 = $13.50 Shipping & handling:     $
$100.01 to $150  = $16.50     $150.01 to $200 = $19.50 $200.01 to $250 = $22.50 Total:  $
$250.01 to $300  = $25.50         $300.01 to $350  = $28.50  $350.01 to $400 = $31.50
$400.01 to $500  = $34.50 $500.01 to $750  = $38.00 $750.01 to $1000  = $41.00
$1000.01 to $1500  = $55.00 $1500.01 to $2000  = $65 $2000.01 to $2500  = $75

Name: _____________________________________

Address: ___________________________________

City: _______________________________________

State: ____________________ Zip: ___________

Phone: ___________________ Fax: ______________

Email:______________________________________
Ship to Address: (if different than billing address)  
                         
Name: _____________________________________

Address: ___________________________________

City: _______________________________________

State: ____________________ Zip: ___________

Phone: ___________________ Fax: ______________

Email:___________________________________
Method of Payment: [  ] Check  [  ] Money Order

__________________________________________
Expiration Date:
 _________________________________________
Signature:
__________________________________________
Make check/money order payable to: Modern Art Images


Mail to Modern Art Images
              338 East 58 Avenue
              Vancouver, BC V5X 1V9


ArtAfricanArt.com     604-628-7402  Fax: 604-628-7305