PRINTABLE ORDER FORM

Full Name: _____________________________________________ (Required)
Email Address: _____________________________________________ (Required)
Telephone No: _____________________________________________ (Required)

Mailing Address:
Street / PO Box: ________________________________
City/Town: ________________________________
Prov/State: ________________________________
Code/Zip: ________________________________
Country: ________________________________
Shipping Address: (If Different)
Street / PO Box: ________________________________
City/Town: ________________________________
Prov/State: ________________________________
Code/Zip: ________________________________
Country: ________________________________

Item#/Name Quantity Colorway/Size Unit Price Total

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Add Shipping: _______________    (Click HERE for Shipping Information)
Add GST/HST: _______________    (for Canadian Residents Only, add applicable GST/HST)
TOTAL ORDER: _______________

(If paying by cheque or money order, where applicable, please ask for a purchase total confirmation before sending payment.)

Would you like to receive a Purchase Total Confirmation?
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THE WOOLLEN EARTH,   General Delivery, Summerville, NS B0N 2K0 Canada
Phone: (902) 633-2727    Email:
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