Newspaper Holder Printable Fax Form

You can print out this order form and fax it to us at (250) 962-6670. We will phone or email to confirm our receipt of your order and give you the total amount owing. Or you may send this form with your cheque or money order as payment or send with credit card information filled in.

Your Name
Address
City
Province/State
Country
Postal Code/Zip
Phone
Email
How Many:	# of Holders your would like:
Comments:
Payment:	Type of Credit Card:
	Card No:
	Expiry Date:
Send to:
Address:
Phone
Delivery Due By	Date/Time:
Comments:

A & E Manufacturing - The NEWSPAPER HOLDER PEOPLE
Box 10059, Prince George, British Columbia Canada V2K 5Y1
Phone/Fax 250-962-6670 or Email: newspaperholder@telus.net

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