mail orders

Lady Gouldian Finch Canada Mail Order Form

Fill In, Print out and mail along with payment
when complete
(remember to copy all totals from cart check out page)

PRODUCT NAME	SIZE	QUANTITY	TOTAL












Sub Total
SHIPPING	please note shipping total on cart page
Total:	please note total on cart's check out page

CUSTOMER INFORMATION

Name:

Street Address:

City:

Province/State: 

Country: 

Postal Code/ Zip Code: 

Contact Phone Number:

E-Mail Address: 

Payment Method: 

Currency: 

Amount: $ 


Please make sure all fields are filled out before mailing. 


Make all cheques or money orders payable to: Ron Cloutier

Mailing Address: 
Lady GOuldian Finch 
c/o Ron Cloutier
R.R. #4 
Acton Ontario 
L7J 2M1
Canada