Pixilated Puffin Design ORDER FORM
    

Pixilated Puffin Design
15857 Hwy #3
Hebbville N.S.   B4V 6X9		 Phone (902) 530-5201      FAX (902) 530-5881

Bill To
Company Name
 		  
Attention:
 		  
Address
 
 
 		  
 
 
Telephone
 		   FAX
Date
 
PO Number Ship Via
  Date Required
 
Signature
 		 No. of Pages     
Ship To [if different]
Company Name
 		  
Attention:
 		  
Address
 
 
 		  
 
 
Telephone
 		   FAX
Special Instructions:
 
Please read over the details on the bag in the catalog or on the website and choose your preferred colour-ways from the bulleted list.
Please print the 'ITEMS PAGE' by clicking