suzan j. fawcett
109 Niagara St.
Hamilton, ON, L8L 6A6, Canada
www.suzanfawcett.ca suzanjane@gmail.com

SPECIAL ORDER FORM

NAME: 	
	
EMAIL:	DATE:	

ORDER	
Notes	ITEM	PRICE	TOTAL	

				

				

				
				
                                                               SUB TOTAL		
         By Postal Code: Shipping & Handling		
                                                          SUB TOTAL #2		
                [Canada only] 5% GST on Sub Total #2		
13% HST on Sub Total #2 (ON, NB, NFLD, & NS only)		
                                                         GRAND TOTAL		
		
Payable by Paypal or Electronic Bank Transfer

		HST: 86137 5806 RT0001			sjf 2020 www.suzanfawcett.ca