Custom Fly Brooches - Order Form

PairoWoodies- Custom Fly Brooches Order Form

Print off a copy of this form and send it, along with your check or money order to:

PairoWoodies P.O. Box 38 OSHAWA ON Canada L1H 7K8 (905) 438-9708	Customer Information: Name:______________________________________________ Address:___________________________________________ City:____________________ State/Prov. ______ Country ___________ Zip/Postal Code ___________ Telephone:(____)______-____________
Ship to Address (If Different From Above):____________________________________ City:____________ State/Province:________________ Zip/Postal Code___________

Payment Method: __ Check __Money Order

	Quant	ITEM NAME, DESCRIPTION, COLOR, SIZE	Price Each	Total (Quant. X price)
_______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______	_____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____	_______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________	______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________	______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________
		Subtotal: Shipping and Insurance: Tax (ON Residents) TOTAL:		______________ $5.00 ______________ ______________

Private Label Orders: Please send your order with Camera Ready logo artwork!

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