Lemuel Violins
Fine String Instruments, Bows, Accessories and Supplies
324154 Mount Elgin Rd, Mount Elgin, Ontario,
Canada N0J 1N0 | Phone: (226) 289-6543 - Fax: (519) 425-9989
Email: violins@violins.ca
- On-line catalog: www.violins.ca
Fax or mail this form to us, or use our automated online shopping cart.
|
Ship to: |
|
Street address: |
|
City, State/Prov. |
|
Country |
|
Zip, Postal Code: |
|
Telephone: (req.) |
|
Fax: |
|
Order Placed By: |
|
DATE: |
|
Email address: |
|
Signature: |
|
Payment Method: |
Please Circle: VISA | MC | Money Order/Check
|
CC Number: |
|
Expiry Date: |
|
Name on Card: |
|
Shipping Rates: Charts at www.violins.ca/ordering.html
or contact us.
Quantity
|
Model #
|
Description
|
Each
|
Amount
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SHIPPING & INSURANCE
|
|
|
|
|
|
Sub-Total
|
|
|
|
CANADIANS: (HST Rates: Ontario, NB, NF
- 13%, Nova Scotia - 15%, BC - 12%, Other - 5%) ) (87082 5270)
|
HST
|
|
|
|
|
Total
|
|
Comments: