Canadian Customers: Gallery-Size Print Purchase & Shipping Form

Your Name (required)

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Telephone (required) Please use format 000-000-0000.

Please contact me via: (Check One)
PhoneEmailEither

Please select “The Cock” or “Le Pique-nique”: (Check One)
The CockLe Pique-nique

Please select framed or unframed version: (Check One)
Unframed Version ($1,000 plus shipping)Framed Version ($1,700 plus shipping)

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Province: (required)
—Please choose an option—AlbertaBritish ColumbiaManitobaNew BrunswickManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory

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