Name *

First Name

Last Name

Address Required for Applicable Taxes *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

CLICK ONE ONLY - Certification for Applicable Taxes *

Canadian residents will be charged the appropriate GST/HST based on their province of residence.

I certify that I am a resident of the Canadian province that is listed above in the Address field.

I certify that I am not resident in Canada for purposes of the "Excise Tax Act". Where applicable, I agree to notify 'Megs Calleja Artist' of any change to my residence status for purposes of the "Excise Tax Act".