Scentsy Order Form

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Order Form
Name:
Date:
Address:
Host: Ice Edge Skating Club
City:
Consultant: Peggy Frunchak
Province/PC:
Phone Number:
Email Address:
Qty
Product Description
Reg Price
10% Off
Total Cost
Order Total
Shipping (10%)
Subtotal
GST (5%)
Total
Cash
x Credit Card
Cheque
Credit Card Name:
Card #:
Billing Postal Code:
Security Code:
Expiration Date:
Buyer's Signature:

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