Order Form

NAME: ________________________________________________

ADDRESS: ________________________________________________

CITY: ___________________ PROVINCE: ___________________

POSTAL/ZIP: _________________ HOME PHONE: (_____)___________

DATE: ___________________ BUS. PHONE: (_____)____________

Please send me the following:

Style # Description	Colour Choice		Size	Quantity	Price	Total Amount
	1st	2nd





Please made cheques or money orders payable to: KYMOTION DESIGNS Note: Please allow 4 weeks for delivery.				Sub Total
				7% GST
				8% PST
				Shipping/Postage		$10.50
				Full Amount