Order Form
please print this form and fax to: 250 247 9807
name: _______________________________________
street address: ________________________________
city: ________________________________________
province/state: ________ postal code: ____________
country: _____________________________________
phone number: _______________________________
e-mail address: _______________________________
styles, colours, and quantities: ____________________
____________________________________________
____________________________________________
special remarks and requests: _____________________
____________________________________________
____________________________________________
total amount: __________________________________
credit card #: ________________ exp. date: ________
signature: _____________________________________
VISA and Mastercard accepted.
Prices are F.O.B. Gabriola Island and do not include
taxes or shipping where applicable.