Important note to U.S. Customers  Print this order form and mail with payment to:                                      

John Blake & Sons Ltd.
5375 Sideline Road #4,
Ashburn, Ontario
Canada.      L0B-1A0		 Phone: 905-649-3359
Fax:      905-649-3317
Email:  mailto:information@jbscanada.com

Order Form

From

Shipping Address if Different
First Name   Attention:  
Last Name   Last Name  
Title   Title  
Organization   Organization  
Address   Address  
Address   Address  
City   City  
State/Province   State/Province  
Zip/Postal   Zip/Postal  
Country   Country  
Phone   IRS Number  
Fax   Federal ID Number  
Email   Social Security Number  
Product # Quantity Description Price Amount
         
         
         
         
         
         
         
         
Sub Total  
Canadian residents add GST 7%  
Ontario residents add PST 8%  
Shipping and Handling  
Total