Please complete and fax, or mail this order form to:

Entropic Fine Art Inc.

5929 Clements Rd.
Duncan, B.C. V9L 6J7
CANADA
Phone: 250-701-9366
1-866-806-6227
Fax: 250-701-9979

I would like to order:

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                           # Copies 			   Total Amount

Limited Edition Print      ________ X $200.00 Cdn.	   ____________

Artists Proofs             ________ X $250.00 Cdn.	   ____________

British Columbia PST (if applicable)                      ____________
GST (if applicable)                                    ____________

Total                                                  ____________

Shipping Charges Extra 

Method of Payment:

Name:		________________________________________

Address:	________________________________________

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Fax:		(    )_____-________


Master Card _________________________________ Expiry Date:____________

Visa        _________________________________ Expiry Date:____________

Amex        _________________________________ Expiry Date:____________

JCB Cards   _________________________________ Expiry Date:____________


Signature:  ___________________________________

If you would like more information on Peter Robson's other works, 
check here  ________

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