Vignettes Order Form
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     Item No.  Quantity  Price/Item  Total
Ships - S100     Mounted  $70.00
  Unmounted  $65.00
Ships - S101     Mounted  $70.00
  Unmounted  $65.00
Ships - S102     Mounted  $70.00
  Unmounted  $65.00
 
Streetcars - C100     Mounted  $70.00
  Unmounted  $65.00
Streetcars - C101     Mounted  $70.00
  Unmounted  $65.00
Streetcars - C102     Mounted  $70.00
  Unmounted  $65.00
Streetcars - C103     Mounted  $70.00
  Unmounted  $65.00
Streetcars - C104     Mounted  $70.00
  Unmounted  $65.00
 
Buffalo - A100     Mounted  $70.00
  Unmounted  $65.00
Beaver - A101     Mounted  $70.00
  Unmounted  $65.00
Elk - A102     Mounted  $70.00
  Unmounted  $65.00
Lion - A103     Mounted  $70.00
  Unmounted  $65.00
 
Trains - T100     Mounted  $70.00
  Unmounted  $65.00
Trains - T101     Mounted  $70.00
  Unmounted  $65.00
 
Logging - L100     Mounted  $70.00
  Unmounted  $65.00
Logging - L101     Mounted  $70.00
  Unmounted  $65.00
 
Parliament Building - B100     Mounted  $70.00
  Unmounted  $65.00
 
Shepherdess - P100     Mounted  $70.00
  Unmounted  $65.00
Flowergirl - P101     Mounted  $70.00
  Unmounted  $65.00
American Indian - P102     Mounted  $70.00
  Unmounted  $65.00
 
Sub Total:
Shipping (1-4 items - $2.00, 5+ items - $4.00):
Grand Total:

Method of Payment

Please choose one of the two options:
  By Cheque or Money Order:
  • Mail with a printed copy of your order
  • Make payable to Canadian Bank Note Company, Limited
  • Mail to Canadian Bank Note Company, Limited, Vignette Sales, 145 Richmond Road, Ottawa, Ontario, Canada, K1Z 1A1
  • Fax with a copy of your order to 613-722-2548
  By Visa or Mastercard (can be mailed or faxed):
Card No.:
Expiry Date:
Name on Card:
  • Mail or fax a printed copy of your order to the above address
Please allow 4 weeks for delivery
For further information, please contact Vignette Sales in Ottawa, Canada by email at vignettes@cbnco.com or by phone at 613-722-3421.