You can print out this form and mail it with a US$ cheque or credit card payment to Canadian Waters Inc, 111 East Sheridan Street, Ely, Minnesota 55731-1299, USA.

Please supply me with:
_____ copies of the large map (86cm x 112cm) @ US$19.95 =	US$______
_____ copies of Canoe Map 1 (NW) (56cm x 86cm) @ US$5.95 =	US$______
_____ copies of Canoe Map 2 (NE) (56cm x 86cm) @ US$5.95 =	US$______
_____ copies of Canoe Map 3 (SW) (56cm x 86cm) @ US$5.95 =	US$______
_____ copies of Canoe Map 4 (SE) (56cm x 86cm) @ US$5.95 =	US$______
Sub-total	US$______
Shipping and Handling (Add US$10.00)	US$______
Sub-total	US$______
Sales Tax @ 6.5% (Minnesota Residents only)	US$______
Total cost of order	US$______
Cheques or money orders for the above amount should be made payable to Canadian Waters Inc and sent with your order to the above address. For credit card orders, please complete the following details.
Credit Card: VISA MasterCard Amex Discovery Card number: _______________________________________ Expiry date: _______________________________________ Name as it appears on card: _______________________________________ Signature: _______________________________________

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