| KOOTENAY FORGE LTD | Date: |
| Box 119, Crawford Bay, BC | Ship To: |
Address: |
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| Phone (877)461-9466 | |
| Fax: (250)227-9535 |
Phone: |
| e-mail: info@kootenayforge.com | Thanks for using this on-line order form. |
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Shipping included in |
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Subtotal |
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5% GST on Subtotal (Canada only) |
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7% PST on Net Total (BC only) |
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TOTAL |
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