You can print out this form and mail it with a Canadian $ cheque or VISA payment to The Quetico Foundation, 390 Bay Street, Suite 1206, Toronto, Ontario, M5H 2Y2.

Please supply me with:
_____ copies of the large map (86cm x 112cm) @ C$19.95 =	C$______
_____ copies of Canoe Map 1 (NW) (56cm x 86cm) @ C$5.95 =	C$______
_____ copies of Canoe Map 2 (NE) (56cm x 86cm) @ C$5.95 =	C$______
_____ copies of Canoe Map 3 (SW) (56cm x 86cm) @ C$5.95 =	C$______
_____ copies of Canoe Map 4 (SE) (56cm x 86cm) @ $5.95 =	C$______
Sub-total	C$______
Shipping and Handling (Add C$10.00)	C$______
Sub-total	C$______
P.S.T. @ 8% (Ontario Residents only)	C$______
Total cost of order	C$______
Cheques or money orders for the above amount should be made payable to The Quetico Foundation and sent with your order to the above address. For VISA orders, please complete the following details.
VISA number: _______________________________________ VISA expiry date: _______________________________________ Name as it appears on VISA card: _______________________________________ Signature: _______________________________________

Ship to:
Name:	_______________________________________
Address:	_______________________________________
City:	_______________________________________
Province:	_______________________________________
Postal Code:	_______________________________________
Telephone (incl Area Code):	_______________________________________
E-mail (for future correspondence):	_______________________________________