MAIL ITEMS TO ELMOS BRONZING CO. 857 FLORELL DR. OSHAWA ON L1H 6V9 (905) 720-0095 PLEASE INCLUDE PAYMENT WITH ITEM SHIPPED Payments accepted by check or Money Order Only Payable to the Elmo C. Mumble Co.

ELMOS BRONZING ORDER FORM Ship to ___________________________________ Street ____________________________________ City ______________________ Province _____________ Postal Code _____________ Phone ____________________

How to fill in order form: This is a general order form and is not applicable for all items shown.  Please call (905) 720-0095 if you need help; There is an item number next to each product. If there is no number please write in the product name. Shipping: Please add $15.00 for unmounted shoes and $17.95 for mounted shoes.  For adult shoe, boot, or gift item add $26.95. Tax: Add sales tax PST 8% and GST 5% Mounted orders come with 2 line Free engravings in matching finish with Name, Date of Birth, Birth Stone, or zodiac if desired. TURNAROUND TIME FOR ANTIQUE OR BRIGHT BRONZE PRODUCTS IS 3 WEEKS FOR GOLD, SILVER, OR BRASS PLEASE ALLOW 6 TO 8 WEEKS

Item # or Object Mount # and Finish Price Shipping Total                                   Add GST 5%   Add PST 8%     TOTAL

ENGRAVING INFORMATION FOR MOUNTED ORDERS ONLY Check if you like birth stone or zodiac.   Please print required engraving below: _______________________________________________________________________________