The Harms in Art
Gallery

One
Gallery

Two
Gallery

Three
Gallery

Four
Gallery

Five

Order Form

Robert Harms Studio
46411 Hope River Road
Chilliwack, British Columbia
Canada
V2P 3P4
(604) 792-4835
email: thestudio@theharmsinart.com
To order, print this form and order by mail, using your credit card or by sending a cheque or money order (no cash, please), payable to Robert Harms. If you prefer, call Canwest Art Services: Monday- Saturday 10AM to 5PM PST and use your MasterCard or Visa.

METHOD OF PAYMENT
Cheque or Money Order for $ ________ Payable to Robert Harms
CHARGE TO: Name:
MasterCard or Visa: Address:
Credit Card #: City:
Expiration Date: State/Province:
Signature: Zip/Postal Code:
Phone:

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