| Superfood |
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Order Form |
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| by nature |
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pay by money order or cheque, simply print this page and mail it to the
address below. |
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| Note: If paying by personal cheque, product will
be shipped out once cheque has cleared. |
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Superfood by Nature |
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P.O. Box 1141 |
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Cochrane, ON |
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P0L 1C0 |
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| Shipping
and Contact Information: |
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Date: |
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| Name: |
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| Address: |
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| Apt / Suite no. |
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City: |
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| Province: |
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Postal Code: |
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| Phone: |
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E-mail: |
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| Quantity |
Items |
Price of each item |
Total Price |
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Subtotal |
$ |
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| Thank you!! |
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Free shipping and no tax |
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| Merci !! |
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TOTAL |
$ |
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