Wine Barrel Order
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Order Information
Phone: (519) 448-1350
Fax:   Print this form and fax it to (519) 448-1979
Mail:  Send this form to Canadian Oak, P. O. Box 790, St. George, Ontario  N0E1N0


Order Form

Product

Item

Description

Price

Qty.

Total

Subtotal

Tax

Total


Shipping Address

Name

Address

         

City

State

Country

Zip

Email


Billing Address
  Check if same as shipping address

Name

Address

         

City

State

Country

Zip

Email


Billing Information

Credit card

Name on Card

Card number

Expiration


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