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Online Order Form
Simply fill out this form with your contact information and the items you wish to order. We will calculate the shipping charges for you, and get back to you with the total for your order. We do not currently take payments online. 

Please read our Policies to be sure you are aware of our minimum shipping & handling charges before ordering.

Note: Submit additional forms if more than 6 items are being ordered.

Fields marked with an * are required. If they are not filled out, order form will not submit

CONTACT

Ordered By: Ship To:
  Same as order address
*Name: Name:
*Street: Street:
*City: City:
*Prov/State: Prov/State:
*Postal/Zip Code: Postal/Zip Code:
*E-Mail Address: *Daytime Phone Number:


ORDER

Quantity Product & Description Cost Total
* * $ * $ *
$ $
$ $
$ $
$ $
$ $
*Sub Total $
GST (7%) $
PST (8% - if applicable) $
We will calculate shipping costs and get back to you.
Total $
Please Fill Out the Sales Tax Exemption form if you are In Ont. and wish to claim exemption.

ONTARIO RETAIL SALES TAX



*Method of Payment:
Visa and Mastercard Accepted
Credit Card Hyperwallet/Paypal
Check/MoneyOrder
C.O.D.
Enclose a catalogue with order? Yes-Price:$2.50 No

 
Make check or money order payable to: Country Scentiments Skin Care Inc..
Our mailing address is:1284 Westross Rd., R.R.#1
Cobden, Ontario, K0J 1K0

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