Designs by Sue Preston
1 Pine Crest Road Chatham, ON, Canada N7M 4H4

Phone: 519-380-0282 | Fax: 519-380-0769 Email: suepreston@bell.net

Order Form

Customer Name: ___________________________________________________
Business Name: ___________________________________________________
Address: _________________________________________________________________
Address: ____________________________________City: ______________________
Prov/State: ___________ Country: ____________ Postal Code: ______________
Phone #: ___________________ E-mail: _______________________________

Item #	Description	Quantity	Price per Item	Total

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Shipping
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Shipping Charges within Canada:
Orders Totaling $0 to $249.99 = Full Postage
Orders Totaling $250.00 to $499.00 = 50% Discount on Postage
Orders Totaling $500.00 or more = Free Shipping

Cheques or money orders accepted, payable to Susan Preston.

Visa / MasterCard #/ ___________________________
Expiry Date __________________
Customer Signature _______________________________________