RK's Mail Order Service Order Form - Printer Version << Back to previous page >>
R.R. #1 7647 Wellington Cty. Road 10 Moorefield, ON N0G 2K0 Ph: 519-638-5942 Toll Free: 1-800-440-2694 Fax: 519-638-3128 E-mail: rkanimalsupplies@xplornet.com www.rkanimalsupplies.com
Name:________________________________ Civic/911 Address: ______________________ City: ____________________ Province: _____ Postal Code: ___________________________ Daytime Phone: ________________________ Other Phone: __________________________ Card Number: _________________________ Expiry Date (MM/YY): _________ __________	Method of payment: ______________ Cheque ______________ Visa ______________ Master Card ______________ C.O.D. Cardholder name: ____________________________ Signature: __________________________________

Quantity	Name of Item	Size	Colour	Price (each)	Total Cost

Please call our office to get a quote on prices & shipping. Federal Tax (G.S.T.) or 5% will be added to total. Fax, phone or e-mail form to address shown above. C.O.D. and additional shipping charges may apply. Most products are F.O.B. Moorefield, ON. All prices subject to change without notice.	Subtotal:________________________ Shipping/Handling:_________________ G.S.T.____________________________ Total:______________________________
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