Admiralty Canvas Ltd Order form |
(1) Ordered by.....
Name................................................................... Street Address...................................................... City....................................................................... Country................................................................. Postal / Zip code.................................................... Phone number....(..............).................................... |
(2) Shipping address (If different to #1)
Name ............................................................ Street Address ............................................... City ................................................................ Country .......................................................... Postal / Zip code ............................................. Phone number....(..............).............................. |
Total cost of product from page # 2............................
H.S.T. / G.S.T............................
Shipping & Handling............................
Total Cost............................
Visa / Master Card Number ..................................................
Exp Date (M/Y)........../.......... Signature..............................................
Fax completed form to 902-463-5656. We will call you within 24 hours to confirm shipping date & cost. |
Description |
Quantity Ordered |
Unit cost |
Extended Cost |
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Total Cost of Product - |