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

 

 

     
 

 

     
 

 

     
 

 

     
 

 

     
 

 

     
 

 

     
 

 

     
 

 

     
 

 

     
 

 

     

Total Cost of Product -