COWSMOPOLITAN COUNTRY
Dairy Show Supply Specialists
Box 207, Didsbury, Alberta, Canada, T0M 0W0
403-335-3780 (tel) ~ 403-335-9230 (fax)
wrightc@xplornet.com (email)
http://www.rkde.com/cowsmopolitan (website)

Date: ____________________________________

Name: _________________________________________________

Address: _______________________________________________________________________

Postal Code: _______________ Phone: ________________________ Fax: _______________________

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Shipped Via: ..................................................................................... Shipping..
Subtotal..
6% GST ..
TOTAL..

 

Credit Card:   Visa   Mastercard  Amex

Name on Card: _________________________________________________

Number: _______________________________________________    Expiry: _______________

Signature: _________________________________________________

To order, please print this page, complete your order and fax to 403-335-9230

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