Reunion 2004 Memorabilia Order Form

THE REESOR FAMILY IN CANADA

Bicentennial Reunion Memorabilia Order Form

Please complete your name, address, and desired quantities and then click the Calculate button to calculate the total amount. Please note, shipping charges are extra and you will be invoiced for the total amount owing including shipping charges. For orders shipped to destinations outside Canada, the prices and shipping costs will be converted to US dollars on the invoice. Print the completed form and then click the Submit button to send your order to us.

Name:

Address:

Street:	Telephone:
City:	Email:
Province/State:	Postal/Zip Code:
Country:

Item	Price (Cdn $)	Quantity
Bicentennial Reunion Video - VHS	$25.00
Bicentennial Reunion Video - DVD	$25.00
2004 Reesor CD	$15.00
2000 Reesor Book	$45.00
1980 Reesor Book	$25.00
1950 Reesor Book	$25.00
1928 Reesor Book	$10.00
Bicentennial Coin	$2.00
Bicentennial Poster	$10.00
Bicentennial Thimble	$7.00
Bicentennial Bell	$10.00
Bicentennial Plate	$10.00
Reesor Historic Sites Driving Tour	$1.00
Total Order	<------	------>

Order Fulfillment Option: Mail Pick-up (call 416-497-5900 to arrange pick-up)

If delivery is desired to an address other than the one entered above, please enter it here.

Delivery Address:

Name:

Street:

City:

Province/State:

Postal/Zip Code:

Country:

Telephone:

An invoice for the total amount owing including shipping costs will be included with your shipment. Following receipt of your shipment, please send a cheque for the total amount owing, made payable to The Reesor Family in Canada to:

The Reesor Family in Canada
c/o C.D. Reesor
27 Forestbrook Cresc
Agincourt Ontario M1T 1S7

Please print this completed form before submitting it as a record of your order. If you have difficulty submitting this form electronically, please mail it to the address above. Thank you.

Name:
Street:
City:
Province/State:	Postal/Zip Code:
Country:	Telephone: