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Order Form
To order by mail:
50% deposit required on commissions. Remainder upon delivery.
Please print out this completed form and send it,
along with payment to:
'Jaime Seward'
P.O. Box 911
Enderby, BC, Canada, V0E 1V0
or Phone: (250) 838-9455
BILL TO:
(Phone number not required)
SHIP TO:
(Leave blank if same)
Name
Address
City
State/Province
Country
Zip/Postal Code
Phone
E-Mail
SPECIAL INSTRUCTIONS / GREETING
PRODUCTS TO ORDER
QTY
PRODUCT DESCRIPTION
ITEM #
PRICE
TOTALS (Free shipping anywhere in North America)
Sub total from above:
Provincial Tax: (BC residents add 7%)
Order Total:
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Platinum Programming
of
Enderby, BC