| ___ Nearly New | ___ Wrecked | |
| ___ Clean | ___ Dirty | ___ Stained |
| Colour 1st choice ____________ | 2nd choice ____________ |
To be sent to:
Name _________________________
Address _________________________
City
_________________________
Postal/Zipcode _____________
No checks please! I only accept money orders or bank drafts made to "cash". Thank you!
Please print this form and send with your payment to:
Occupant (no names please)
5647 Park Ave. #48002
Montreal QC (Canada)
H2V 4S8