LAZY DAISY ORDER FORM
 
                   Name:
Street & Number:
                    City:
    Province/State:
   Phone Number:
                 e-mail:
 
Please make a first and second choice if choosing patterns below.
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FG SU KR BW CL PE BR       LO  

What would you like to order?

QTY ITEM NO.  DESCRIPTION PATTERN UNIT PRICE TOTAL
Sub Total:
Add 5% GST:
Ont. Res. Add 8% PST:
Grand Total:

Shipping charges will be added to your order.  We ship by Canpar or Mail (Whichever is cheapest)

We accept Visa or Mastercard for payment.

Name on Card:
Card Number:
Exp. :
CVC Code:
 
Thank you for your order. Please allow 2-3 weeks for delivery.