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Work Order Template 3

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Work Order Template 3
Work Order Template 3
House Address:
Email Address:
Expected / Required Date of Delivery:
QTY DESCRIPTION Size Brand Preferred Vendor
Other Comments or Special Instructions
Method Of Payment:
Circle one
Visa
Mastercard
Credit Card #
Expiration Date CVV#
* I agree to have my Credit Card charged by ABC-Kivalliq.
Initial to approve
** I agree to have ABC-Kivalliq charge future orders to this card
Initial to approve
*We Accept Credit Cards, Bank Deposit, EMT, COD, and Cash in Winnipeg or Rankin Inlet
**Orders will not be released until proof of payment is shown.
Signature Date
Qujannamiik!
6-1393 Border Street
Winnipeg
Phone
BILL TO
Name:
Town:
ORDER FORM
SHIP TO (if different)
Name
Tel no.(204)415-6389
Town:
Fax no. (204)415-6024
ordersabckivalliq@gmail.com
Phone:
P.O. Box:
* You can list here what type of places or product brands
you absolutely DO not want selected.
P.O. Box:
Work Order Template 3