Product Order Form

Please complete this form to order one of more of our products.
Please indicate the QUANTITY ordered for each desired item (i.e. 1 or more).
If you do not wish to order an item, enter zero for that item (i.e. Large Stone Widget: 0).


Large Stone Widget:    ($1.50 each)
Small Stone Widget:    ($1.25 each)
Large Marble Widget:    ($3.50 each)
Small Marble Widget:    ($3.00 each)
Large Wood Widget:    ($1.00 each)
Small Wood Widget:    ($0.75 each)
Large Glass Widget:    ($2.00 each)
Small Glass Widget:    ($1.75 each)

ACME Widget Company -- 31412 First Ave, Mission, BC -- Phone: 288-625-2396 / Fax: 288-625-2300

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