FAX Order Form

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FAX Order Form

Diana May Clay Ltd. Catalogue Order Form

Print this form and fax or mail to:

DIANA MAY CLAY LTD.
Box 26,
Theodore, Saskatchewan, S0A 4C0, Canada

Voice (306) 647-2092 Fax (306) 647-2299

Item # Qty. Item Description Size Price
Total

NOTE: Shipping and handling costs vary according to order.
Please call for shipping charges (306) 647-2092

Name Sub Total

Address (shipping) In Canada add 7% GST.
Saskatchewan
residents add 6% PST as well.

City / State or Prov/ Zip Shipping & Handling

Phone Number ( ) Order Total

IMPORTANT:

Fraud Prevention Security requires credit card address to match billing address exactly.

Address (Billing)

City / State or Prov. / Zip

Circle one if payment is by credit card

Cash______ Check________ Credit Card_______

Credit Card Account No._____________________________________

Expiration Date:______/______

Card Holders Signature: ______________________________________

from: http://www.quantumlynx.com/diamay/Dmayclay/dianapage1.html DIANA MAY CLAY LTD.

Name		Sub Total
Address (shipping)		In Canada add 7% GST. Saskatchewan residents add 6% PST as well.
City / State or Prov/ Zip		Shipping & Handling
Phone Number	( )	Order Total