SAFE Coin and Stamp - Order Form

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Coin & Stamp Supplies 503 McMaster Street Thunder Bay, ON, CA P7C5N1	G.S.T. #130063019 Telephone: (807) 475-3505 Fax: (807) 475-7938 E-Mail: safecoinandstampsupplies@tbaytel.net www.safecoinandstamp.com

Ship to: (Please print or type) Name:____________________________________________ Tel:________________
Address:______________________________________________________________
City:____________________________ Province:__________________
Postal Code:________

	Quantity	Item#	Description-Color	Price Each	Total (Price x Quantity)
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