* International orders, AK, HI and Canada: I will bill with the exact shipping charge. Please email me with your address and postal code and I will email you back with the amount.
| Alder Stream Canvas Order Form | |
| Please print out the order
form below and send it along with your payment information. We accept
Visa, Master Card, Discover, check or money order in
U.S. funds. *International orders may choose to send payment via Western
Union, to: Farmington, Maine 14938. Please
email me first for shipping
amounts. Mail to: |
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| * Sales tax applicable to order
shipped in Maine Colors Available: Canvas: Beige (18oz), Navy, Olive Drab (15oz), Grey (10oz), Cordura: Brown (500 denier) |
| Mailing Address | Shipping Address (if different) |
| Name | Name |
| Address | Address |
| email or phone: |
Method of Payment:
| Check or Money order Enclosed: ________ | |
| Credit Card: Visa_____ MasterCard _____ Discover ______ | 3 digit security code: |
| Card # | Name on Card: |
| Exp. Date | Signature: |
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