Edmond Neil Order form

Edmond Neil Order form:
(Print this page out and fill in all required fields)

Name: _______________________________________
Address:_____________________________________
Apt:_____________Postal Code:_________________
E-Mail Address: _______________________________

Qty Description Price ___ ________________________ _______ ___ ________________________ _______ ___ ________________________ _______ ___ ________________________ _______ ___ ________________________ _______ ___ ________________________ _______
Total ______

Note: All prices include shipping/handling and tax Send your order form w/ cash (if you trust all those hands), cheque (make out cheques to Edmond Whiteside),money order to:
Edmond Neil
106 Balaban Place
Winnipeg, Manitoba, Canada
R2C 4A4