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Green and Clean Hydroponics Systems

Green and Clean Order Form

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Order Form
Green & Clean Hydroponics
 
  Date

 

 
  Name
  Address
  Apt. / Box / R.R. #
  City / Town
  Prov. / State                               Postal Code
  Daytime Phone No.     (            )

 
  Card Number
  Expiry Date
  Signature
  Shipping Method

 
  [   ]  Cheque / Money Order Enclosed              $
  [   ]  Credit Card Order  [   ]  Visa  [   ]  Mastercard  [   ]  AmEx
Item
Qty
Unit Price
Total
Green & Clean Hydroponics
761 Barrydowne Rd.
Sudbury, Ontario
P3A 3T6
Phone:  (705) 524-7205
Toll Free:  1-800-246-5503
Fax:  (705) 524-7206
  Total
  GST 6%
  PST 8%
  Shipping Cost
  Grand Total
PST not charged on out of province orders.        No taxes charged for international orders.

 
                                                                                                                                                                                                                                                                                                             
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