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150 MacLaughlin Ave. Lower Onslow, Nova Scotia, Canada, B6L 5G6 |
Name:_____________________________________Date:_________________________ Address:________________________________________________________________ City:___________________________ State/province:________________________ Country:____________________ Postal Code:_______________________________ Email address:__________________________________________________________ Phone No. and best time to call (optional):_____________________________ _______________________________|________|____________|________|_________ _______________________________|________|____________|________|_________ _______________________________|________|____________|________|_________ _______________________________|________|____________|________|_________ _______________________________|________|____________|________|_________ _______________________________|________|____________|________|_________ _______________________________|________|____________|________|_________ _______________________________|________|____________|________|_________ _______________________________|________|____________|________|_________ _______________________________|________|____________|________|_________ Total $ enclosed/sent:_______________ PAYMENT MUST BE MADE OUT TO "JAMES SMALL" Thank you for your order. Please allow six to eight weeks for delivery. |