Email-Fax-Order-Form by xuyuzhu

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									                                  Westpoint Distributors
                                Purchase Order Email/Fax Form
                              Fax: 604-708-3328 Toll Free Fax: 1-888-318-3322
                                       sales@westpointnaturals.com

     Store Name:                            Telephone:
     Customer No:
     Contact Person:                        Email/Fax:
     Order Date:                            Shipping Instruction:
            Code       Q'ty      Size                                 Brief Description

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