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Order by Fax: 1-250-418-8934
Order by Mail: Send form with payment to

Tyee Tackle
920 Johnson Street
Victoria, B.C. V8V 3N4
Canada

Sold To:

Name___________________________________________________________________

Address________________________________________________________________

Address________________________________________________________________

City___________________Prov./State__________Country________ZIP_________


Payment By Credit Card: Visa____ MasterCard____ AMEX____ or

Check or Money Order attached ____________.

Card Number: /__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/

Expiration Date: /___/___/

Signature___________________________________________ Date_________________

To process your order quickly and efficiently we require a phone number.

Day:(   )-______________ Night (   )-_____________  E-Mail ___________________.

Item No/Qty/Color/Size/Description                             Price Ea.  Total

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(Shipping Charges 		 	)		Subtotal   ____________
(Orders up to $10.00 add $4.00         	)
(  $10.01 to $20.00 add $5.00          	) Can. Res add 7.00% GST   ____________
(  $20.01 to $50.00 add $6.50          	)
(  $50.01 to $100.00 add $10.50		) BC. Res add 7.5% PST	   ____________
(  $100.01 to $200.00 add $15.50	)
(  $200.01 to $200.00 add $20.50	)	        Shipping   ____________
(  Over $300.00 - Free			)
							Total	   ____________


Payment must be in US Funds (checks on a US bank or major Credit Card).
Shipment is by Canada Post Airmail