CANADA Order FORM A2

Canada

North America's largest European juice supplier

Prices on this form represent the 2007 Harvest pricing.

Pick a product from the drop-down list, then type in a quantity (i.e. # of desired batches, one batch = 5 gallons) and click another field, or press Tab. Press <Ctrl> P to print this page.

Type in your name etc. and be sure to fill in all the fields.

Click on the FORWARD button to have your order electronically processed. A sales representative will call you with the shipping charge based on your address. Please include your number where you can be reached to confirm your order. Be aware that the FORWARD button requires a valid email address.

These are internet only prices direct from Kamil Juices to our Canadian customers. They do require additional shipping charges based on your address.

CANADA ORDER FORM A2

Product	Qty	Unit Price	Ext Price

	Subtotal:
	:
	Grand Total:

Ship To:

First and Last Name: (required)
Address:
City:
Prov, Post Code:
Phone:(required)
Email address: (required)
Credit Card Number:
Credit Card Expiry:

Total value of: is estimated for the juices. The prices above are in Canadian funds. Shipping rates will be quoted when we receive your order after hitting the FORWARD button. All juice orders come supplied with full instructions, clarifing agents (white or red), stabilizer, yeast (Lalvin EC 1118) and/or oak if desired.

Tel 519.824.1624

Fax 519.824.0808

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