dino | pacifici.com / Canadian Order form

6790 Pierre Auger
Montreal, Quebec
Canada, H1M 2Z5

CDN order form

This order form will be sent by e-mail. You will be contacted shortly after we receive your order to confirm its status.

Last name:
First name:
Shipping address:
City:
Province:
Postal code:
e-mail address:
Tel. number:
How did you hear about us?
Payment method:
Confirm order via:	telephone e-mail
Send me more information via e-mail
Comments?
YOUR ORDER	CDs are $14.99 CDN each (plus ship. $3.25 each CD)
Hallowed Ground cat# dp-2-1024	number of copies of
Acquiescent Resonance cat# dpx-2-1023	number of copies of
The Journey cat# dpx-2-1022	number of copies of
Urban Oasis cat# dpx-2-1021	number of copies of
Random Factors cat# dp-2-1018	number of copies of
Reflections: Long ago and Far away*	* NOT AVAILABLE FOR NOW

Please allow 2-4 weeks for delivery

If you choose to send your order by mail please do so at this address:

6790 Pierre Auger
Montreal, Quebec
Canada, H1M 2Z5