SILK CONCEPTS ORDER FORM

152 Allwright Close
Red Deer, AB
Canada
T4R 3P1

Phone/Fax: (403) 347 - 9391

Email: silkconcepts@shaw.ca

Item Description

Code number

Quantity

Unit Price

Extended Price
Subtotal
Discount
Shipping and Handling
Can
U.S.
Overseas
 S&H
Canadian Orders only add 6% GST
 G.S.T.
TOTAL

Shipping Information

 Name:  
 Address:  
 City:  
 Prov/State:  
Postal Code:   
 Country:  
 Telephone:  
 Payment Options:  Cheque Money order Visa Mastercard
 Account #:  
 Expiry Date:  
 Name on Card: