Mail your order to: Bar Stools For Less 4-45 Trottier Bay Winnipeg, Manitoba, Canada R3T 3R3

Fax in your order: (204) 927-1484 ... Anytime! Phone in your order toll free: (866) 322-7732 ... Mon to Fri, 9am - 5pm CST

Bill To ( as it appears on credit card or check )		Ship To ( if different than bill to information )
Name		Name
Company	Suite/Floor	Company	Suite/Floor
Address	Apt. No.	Address	Apt. No.
City, State	Zip	City, State	Zip
Daytime Phone No.  (     )		Daytime Phone No.  (     )
Email Address		Email Address

Payment Method

Check      Money Order      VISA      MasterCard

Credit Card Number

CVV 3 Digits Expiration Date

Signature

________________________________________________________________ (required for credit card payments)

Item Number	Fabric/Metal Finish	Description	Qty	Unit Price	Total
Merchandise Total
(Canadian residents add 7%) GST
(FREE for North America, call for others) Shipping & Handling
ORDER TOTAL