Adventure Quest Bookstore Mail/Fax Form
Print and Fax or Mail to Adventure Quest at:

Adventure Quest
Site 8, Box 40, RR#1,
Elmsdale, N.S., B0N 1M0
Telephone: (902) 883-1974
fax: (902) 883-7495
quest@cast.navnet.net

My Name and Address Payment Method


___________________________________
Name/Company		 ___________________________________
Visa Account
___________________________________
Street		 ___________________________________
Exp. Date
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City Prov./State Postal / Zip Code		 ___________________________________
Signature
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Attention Telephone Number Fax Number		 Cheque or Money Order Enclosed ___
.


Item Description Order # Quantity Unit Price Total
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Total for Goods .
Shipping .
Final Total .

Shipping Costs
total for goods under $50 = $6.95
$50 to $100 = $9.95
over $100 = $11.95

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