ORDER FORM

Name:		Send order to: Francesco Sirene, Spicer, Box 1051, Peachland, B.C., Canada V0H 1X0 Payment by cheque or money order, please. (U.S. cheques must be in U.S. funds - you may deduct 20% of the total if paying in U.S. funds.)

Mailing Address:

City:

Province or State:	Postal Code:

QUANTITY	CATALOGUE #	DESCRIPTION	PRICE	SHIPPING WT.















		TOTAL WEIGHT
		SUBTOTAL
		B.C. RESIDENTS ADD 7½% PST (ON NON-FOOD ITEMS)
		CANADIAN RESIDENTS ADD 7% GST (ON NON-FOOD ITEMS)
		POSTAGE AND HANDLING (SEE CHART)
		TOTAL