To order souvenir products

To place an order, print this page, identify the products you wish to purchase and send with your payment (cash, cheque ou money order) to the address shown
Product
Qty
Unit Price Cdn$ (US$)
$ Total
New Lapel Pin _____ @ $5.00 ($5.00US) _______
Coat of Arms _____ @ $8.00 ($8.00US) _______
------
Number of items _____ @ $0.50 Shipping _______
History Book @ $30.00 ($30.00US) ________
Number of books @ $8.00 ($8.00US) _______
Total cost for the order :
_______
Return to the Products page
Make cheques or money orders payable to the "Association des Boudreau Inc."

Send this order form and payment to the following address:

Your Name and Address:

Name _______________________________

St./Apt/P.O. Box.

____________________________________

____________________________________

Town/City_______________________________

Prov./State ____________________________

Country _____________ Postal Code _______

Association des Boudreau Inc.

131 Fourth Ave.

Pointe-du-Chêne, N.B.

Canada

E4P 4H5

Your e-mail: _______________________________