Fax or Mail
To use this form, print it by choosing the print option from your browser's file menu. Fill in the appropriate places and either fax it to us at (604) 983-2296, or mail it to us with Check Or Money Order to our address. Please do not send cash.

Make Payable to;
Todd Baker - Native Online

Correspondence Information

Please enter the name and address to be used for shipping: 
(No P.O. Boxes please)
        
Name:	______________________________________________________

Street Address:______________________________________________________

City/State:______________________________________________________

Zip:	___________________________

Phone:	_(_______)________-________________

Fax:_(_______)________-________________

Email:___________________________________

Artwork Information

Title:______________________________________________________________

Artist:	______________________________________________________________

Price:_______________________ Shipping cost: pertains to size
 and weight of the piece of artwork (non-refundable)

Total (Price + shipping): ____________________________
 

Payment Information

 
Make checks payable to TVL Inc..

If you will be using your credit card, please fill out the following
section:

I would like to pay by   ___ MasterCard  ____Visa  (check one) ___Amex

Name on card:_______________________________________________

Card number:___________-___________-___________-___________

Exp. date:_______________________

Signature:_________________________________________________

All orders will be verified by phone. 30 day full money-back guarantee on all artwork (shipping cost is non-refundable)
tjbaker@tvl.com