Dark Side Creations 
Retail Order Form

NOTE:  All merchandise is listed in Canadian dollars

Orders are accepted via the following methods:

E-Mail:		darkside@darkmall.com
Phone:		403-547-6691
Fax:		403-547-6642
Snail Mail:	196 Arbour Ridge Way NW
		Calgary, Alberta  Canada
		T3G 4B1

Payment is accepted via the following methods:

Credit Card (Visa; Master Card; American Express)
Money Order
Cashier's Cheque
Personal Cheque
*Personal cheques are held by bank for 30 days, pending clearance.  

ORDERING INFORMATION:

NAME: ____________________________________________________

SHIPPING ADDRESS: _______________________________________

CITY: _____________________________________________________

PROVINCE/STATE: _________________________________________

POSTAL CODE/ZIP CODE: ___________________________________

PHONE: ____________________________________________________

E-MAIL ADDRESS: ___________________________________________




PRODUCT #        DESCRIPTION (Include color)      QNTY   PRICE EACH      TOTAL

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________


TOTAL OF GOODS								$________

SHIPPING AND HANDLING                                                   $__20.00_
				             	

7% G.S.T.							 	$________
(Only Canadian residents add G.S.T.)

GRAND TOTAL								$________


METHOD OF PAYMENT

VISA #_______________________________________

EXP. DATE:____________________

MASTER CARD # _______________________________

EXP. DATE: ___________________

AMERICAN EXPRESS # __________________________

EXP. DATE: ___________________



Signature: _______________________________________________