Blank Order Form   -   Blue Moon Promotions (c)2009
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Please use this Blank Order Form (OrderForm.txt) for ordering.
Fill out all sections and Mail, Fax, or Email to us.

#     Product#     Image #     Quantity     Price/Unit     Total
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                                             Sub-Total   $
          if you are ordering in Canada - add GST (5%)   $
            if you are ordering in BC - add PST (7%)     $
                                   Shipping & Handling   $
                                           Grand Total   $
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Your Name:
  Address:
  Address:
     City:                        State/Prov:
  Country:                   Zip/Postal Code:
      Fax:                             Email:
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Please send us a certified cheque or personal cheque to below address.
Personal cheque has to clear before we send out the products.
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If you would like to pay via Bank Transfer, check here _____.
We will provide you required information by return Fax or Email.
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Blue Moon Promotions
Box 556
2218 Linea Crescent
Lumby, British Columbia
Canada, V0E 2G0
Fax: (250) 547 - 9310
Email: info@blue-moon.ca
www.blue-moon.ca
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* If your order needs to be shipped to different address,
  please provide it down below.

Shipping Address: