You may print this page and send it with your payment. I would like quantity Create-A-Gram Custom Song @ $100.00Create-A-Gram Custom Scene @ $100.00Create-A-Gram Gift Certificate @ $50.00Create-A-Gram Gift Certificate @ $100.00Create-A-Gram Gift Certificate @ $150.00 Ontario residents please add $5.00 Shipping & Handling per selection. Multiple orders will require only one Shipping & Handling Charge. If ordering Gift Certificates, no Shipping & Handling will be applied on regular mail delivery only. Express or courier charges will be added if applicable. Please add: CHOOSE S&H CHARGE$5.00 - Ontario only$15.00 - outside Ontario$20.00 - U.S. residents onlyNo S&H on Gift Certificates - Regular Mail only PLEASE NOTE: All Canadian Orders are subject to 7% GST   This is:a Single Order. No other form will be submitted with this order.part of a Multiple Order. I will send another form with a different order.   PLEASE COMPLETE ALL OF THE FOLLOWING FIELDS NAME: COMPANY (if applicable): ADDRESS: CITY: PROVINCE / STATE: COUNTRY: CANADAUNITED STATES POSTAL / ZIP CODE: HOME PHONE: OFFICE PHONE: FAX NUMBER: E-MAIL ADDRESS:   I would like updates and bulletins concerning this site and it's services delivered to me when available. IF YOU ARE PURCHASING A PRE-RECORDED ITEM, OR A GIFT CERTIFICATE: Send your Canadian cheque or Money Order to: NMB Productions Suite 121 316 Lorry Greenberg Drive Ottawa, ON K1T 2P4 and make all cheques payable to NMB Productions PLEASE NOTE: All Canadian Orders must ADD 7% GST Here's how to calculate the amount to send: (example only) Item:   $100.00 GST: $7.00 S&H: $5.00 TOTAL: $112.00 If applicable, your order will be shipped promptly when payment is received. Thank You for your business! Our fax# is 613-247-9573 This form Updated January 3, 2007 Create-A-Gram® is a registered trademark of Norman Mikeal Berketa GST# 879361111RT0001