Beach Lane Lavender Farm
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Mail This Form:
Beach Lane Lavender Farm
3768 HIGHWAY 6, RR 4, SEAFOAM, NS
B0K 1N0

 

All prices are in Canadian Dollars
 

BILLING & SHIPPING INFO:

 PRODUCT ORDER FORM:
Name: Product Quantity Price Per Item Amount
Address:        
City:        
Province:        
Postal Code:        
Country:        
Phone#:        
Fax#:        
Email:        
         

TAX: Nova Scotia, Newfoundland & Labrador, and New Brunswick will be charged 13% HST. All other provinces will be charged 6% GST.

Subtotal:

  
Shipping :

$11.75
Total:                     (Add Subtotal to Shipping to get Total)

 
Tax:              (Read left column to determine your tax rate)

6% or13%
GRAND TOTAL (Add Tax to Total to get Grand Total)  
 
 I would like to Pay by Visa or MasterCard Card # __________________________________
Expiry Date: ______________________________
Name on Card: ___________________________
Signature: ________________________________
 
 I would like to Pay with my cheque enclosed