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ORDER FORM

Quantity Description Unit Price Total
  Emu oil 30ml (spray) 19,00 $  
  Soap (100 g) 9,00 $  
  Shampoo (250 ml) 19,00 $  
Hand cream (120 g) 19,00 $
Body lotion (250 ml) 19,00 $

Shipping

12,00 $

Sub-total

 

TPS (5 %)

 

TVQ (9,5 %)

 

(write check or money order to: Ferme d'émeu L & R )           TOTAL

 



 

Name :
Address :
 
Postal code :
Telephone :

Print and mail with payment to:
 

Lise & René Peterson
141 Langevin Rd
Brigham, Quebec, Canada J2K 4X9