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