PO Box 231, Plattsville, Ontario - N0J-1S0

PHONE: (519) 741-7471

Email: Plattsville Ribes
Sorry, Canadian Orders Only ORDER FORM

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Make cheques payable to: Thomas Olenio
Please print, then fill out this order form and mail it to Plattsville Ribes
at the above address.
NAME: ________________________ STREET: ________________________________

CITY: ________________________ PROVINCE: ______ POSTAL CODE: ________

Phone number you can be reached at: (_____) ______ - ____________________

Email: _____________________________

-------------VARIETY:------------------- QTY:----- PRICE EACH: ------ TOTAL:

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-----------------------------------------------------------------Shipping/Handling: ___________

----------------------------------------------------------------------------TOTAL: ___________

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