Seafoam
Lavender Farm
Printer-Friendly Order Form
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Mail This Form: |
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All prices are in Canadian Dollars |
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BILLING & SHIPPING INFO: |
PRODUCT ORDER FORM: |
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Name: |
Product |
Quantity |
Price Per Item |
Amount |
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Address: |
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City: |
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Province: |
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Postal Code: |
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Country: |
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Phone#: |
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Fax#: |
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Email: |
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Subtotal: |
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Total: |
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Tax: |
% |
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Postage will be charged separately “at cost” based on actual Canada Post shipping fees and taxes. |
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GRAND TOTAL (Add Tax to Total to get Grand Total) |
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I would like to Pay by Visa or MasterCard |
Card # __________________________________ |
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Expiry Date: ______________________________ |
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Name on Card: ___________________________ |
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Signature: ________________________________ |
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Growing
Lavender
l
Lavender Festival |
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