Annette's Keepsakes

Please fill out as much of the following form as possible, print it, and include it with your items. Use a separate form for each item or pair.  Price quoted are in Canadian dollars.

Your Information

Your Name:

Phone:

Street:

City:

Province or State:

ZIP:

Your Email:

Item Information

Item style/type:

Finish: Antique Bronze Brass

Mount: None Oak Walnut

Engraved Plate Text: Script LettersBlock Letters

Canadian Residents Mail To:

Annette's Keepsakes
P.O. Box 75335, White Rock, BC, Canada, V4A 0B1