Contact and delivery information (please use more rows if you assume more options)

Contact person's name

Contact person's email address

Contact Person's Phone

days and times for contact

delivery or mailing address

Contact person for delivery (if different)

Delivery place Tel. (if different)

preferred delivery days and times

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Order listing made on (date)________________

DP Code

item

quantity

unit price

amount

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subtotal:

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GST:

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PST:

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TOTAL:

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Store location: Fantastic Flea Market, booth # 144, 2375 Steels Avenue West, west of Dufferin Street, Toronto. We are open every Saturday and Sunday from 10 a.m. till 6 p.m. Mailing Address: Dragan Panic; 503 - 1011 Lansdowne Ave; Toronto, ONT, M6H 4G1; Phone: 416-532-1096 and 416-616-3774; Fax: 416-532-1096; Email: sales@draganpanic.com, Customer Service hours: 7 a.m. till 7 p.m., 7 days a weak. DraganPanic.com

Thank you for your order!