Order Form - Lemuel Violins

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.

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Shipping Rates: Charts at www.violins.ca/ordering.html or contact us.

Quantity

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Each

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SHIPPING & INSURANCE

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CANADIANS: (HST Rates: Ontario, NB, NF - 13%, Nova Scotia - 15%, BC - 12%, Other - 5%) ) (87082 5270)

HST

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Comments:

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:

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