KickAss Country Store - Order Form - Print, fill out, and mail

Shipping and Handling - Kits and Fabrics are shipped by regular letter post unless they are bulky enough to be classified as parcels. Charges will based on actual postage cost....

Product # Description of Item

Send Every Month

Just Send This Month

 Qty

Price per item

Total
             
             
             
             
             
             
             
             
TOTAL ORDER  
G.S.T. (6 % of total) applies to Canadian orders only  
P.S.T. (7% of total, MB only)  
Shipping and Handling  
TOTAL CHARGE  
Name  
Address   City  
Province/State  

Postal/Zip Code

  
Home Phone   VISA/MasterCard  
email   Expiry Date  
Signature      
       
If you would like to be able to order securely from our web page to the charge card listed above please give me a password by which to identify you. Goods ordered this way will only be shipped to the address you’ve given.  
If you would like to order a block of the month, or fabric pack of the month as a gift, please give the other address here.  
Name    
Address   City  
Province/State   Postal/Zip Code  
Message  
 
Please give us suggestions as to how we can improve or expand our products  
   
   
   

Send to KickAss Country Store

Box 178

Plumas, Manitoba

R0J 1P0

or if you're in a rush phone: (204)-386-2193

Visit us on the web to see what’s new at http://www.kickasscountrystore.com