CUSTOM PAINT ORDER FORM FOR OTHER MASKS / EDDY, HEATON, VAN VERDON, WARWICK, RHINO, SHERWOOD, ETC...

GTA RES: 905-686-4263 TOLL FREE: 1-888-257-7554 FAX: 905-686-1953 WEB SITE: www.voodooair.com E-MAIL ADDRESS: paint@voodooair.com MAILING ADDRESS: 717 FINLEY AVENUE, Units # 9 & 10, AJAX, ONT. CANADA L1S 3T1 SHIPPING ADDRESS:920 FAREWELL STREET, South, OSHAWA, ONT. CANADA L1H 6N6

NAME: DATE:

ADDRESS: CITY:

PROV./STATE: COUNTRY: POSTAL/ZIP CODE:

PHONE: FAX: E-MAIL:

PLEASE PRINT CLEARLY AND CIRCLE APPROPRIATE INFORMATION BELOW

MODEL: SIZE: CAGE: CSA CATEYE CHROME GOLD BORDER: Y N

SOLID COLOUR PAINT: WHITE BLACK RED BLUE OTHER:

VOO DOO STOCK CUSTOM PAINT: ANY 1 OF THESE 12 DESIGNS $350.00CDN + TAX WILDCAT / STONEWALLED / RIVETHEAD / SKULLDUGGERY / REDHOT CANADA / USA / MADDOG / LIGHTNING / SPLASH / BEAST / ALIEN

ONE OF A KIND CUSTOM PAINT: CREATE YOUR OWN DESIGN STARTING AT $400.00CDN + TAX. PLEASE FORWARD YOUR WRITTEN INSTRUCTIONS,ANY REFERENCE,LOGOS,PAINT CHIPS,COLOUR SWATCHES or CODES ALONG WITH THIS ORDER FORM FOR A FREE QUOTE. NO OBLIGATIONS.

1 FREE T-SHIRT WITH EACH ONE OF A KIND CUSTOM PAINT ORDERED!!!!

PRICE INCLUDES 2 WEEK TURNAROUND,& FINAL SHIPPING (VIA POST OFFICE). DOES NOT INCLUDE COST OF MASK. FULL PAYMENT MUST ACCOMPANY MASK VIA CERTIFIED CHEQUE/MONEY ORDER/MASTERCARD/(INTERAC/CASH WALK IN CUSTOMERS ONLY) CANADIAN RES. ADD 7%, ONT RES. ADD 15%

I HEREBY AUTHORIZE THE ABOVE SKETCHES, REFERENCE AND WRITTEN DESCRIPTION TO BE PAINTED ON MY GOALIE MASK AT THE AGREED PRICE WRITTEN BELOW. I WILL DEFEND & INDEMNIFY VOO DOO AIRBRUSHING AND ANY OF THEIR ARTIST'S AGAINST ANY AND ALL LIABILITY, LOSS, EXPENSES, OR CONSEQUENTIAL DAMAGES ARISING FROM ANY CLAIMS OF LIBEL, INFRINGEMENTS OF TRADEMARKS, COPYRIGHTS AND LICENSING AGREEMENTS (ie.cartoon character/trade logos) PERTAINING TO THIS CUSTOM PAINT JOB.

SIGNATURE: PRICE: $ DATE:

OFFICE USE ONLY SERIAL# DUE DATE: FINAL INSP. DATE SHIPPED: