Sue Walters Pyrography

  NORTH AMERICAN ORDER FORM  

  

Attention please: this is not a secured order form. (It has no submit button.) It is intended to be filled out and printed...the form can then be mailed to the address below. The PayPal or VISA/MasterCard button next to the product can be used for secured online payment.

This order form can be filled out, printed and mailed to:
Barb Kaminski
P.O. Box 265
Heidelberg
Ontario N0B 1Y0
Canada
Tel: (519) 699-6289 (Mon - Thur 8am—3pm EST Only)
 

All shipping within North America is sent by Canadian Post.

If you wish to pay online by credit card or bank transfer, please use the PayPal button seen next to each product for sale.
You can also make MasterCard and VISA payments by using the secured buttons next to each product.
Both PayPal and the VISA/MasterCard payment methods are SSL encrypted for secure online transactions.



Please select a payment type:

Please make check payable to Sue Walters,
and mail to: Barb Kaminski, P.O. Box 265, Heidelberg, Ontario, N0B 1Y0, Canada
   Check (U.S. and Canadian)    Cash (U.S. and Canadian) Credit Card (All nationalities)
No money orders please.
   Credit Card Type  
Full name of cardholder (as appears on card): 
Card Number (16 digits): 
Expiration Date (mm/yy): 

Please supply the following information. Leave blank what is not applicable.
First Name:
Last Name:
Middle Initial:
Organization/Busniness:
Street Address:
City:
State/Province
Post code/Zip code:
Country:
Work Phone:
Home Phone:
Email Address
Shipping address if different from above.

Please supply the following information to complete your order. The description and costs can be found on the sales page where the product is found.
If there is any confusion with your order, I will Email or contact you immediately.

  Qty   Description/code   Price
Shipping
Total

  


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