T-SHIRT
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| Order Number | Quantity | Price | Total | Size(s) | WH3 "blue" | ________ | $US 17.00 ($CAN 25.00) | ________ | ________ | WH4 | ________ | $US 20.00 ($CAN 29.00) | ________ | ________ | WH2 "USA Gold" | ________ | $US 18.00 ($CAN 26.00) | ________ | ________ | Shipping | ________ | Grand Total | ________ |
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CANADA and USA |
Please make payment payable to: A. Chernin
Name:________________________________ Mailing Address: ____________________ _____________________________________ City: _______________________________ State/Province: _____________________ Country: ____________________________ Postal/Zip Code______________________ email:_______________________________
Mail this order form to:
A. Chernin
#706-2025 Bellevue Ave.
West Vancouver, BC
Canada V7V 1B9
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