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KEZ Creations Order Form

To Order a KEZ Creations Product, Please fill in the following form. We will then contact you about payment and delivery method ...

  1. Please provide the following contact information:
    First name
    Last name
    Street address
    Address (cont.)
    City
    State/Province
    Zip/Postal code
    Country
    Work Phone
    Home Phone
    FAX
    E-mail
  2. Please provide the following ordering information:
    QTY DESCRIPTION (Character Saying and Size)
    BILLING
    Purchase order #
    Account name
    SHIPPING
    Street address
    Address (cont.)
    City
    State/Province
    Zip/Postal code
    Country

Send mail to cokezema@videon.wave.ca with questions or comments about this web site.
Copyright 1998 KEZ Creations
Last modified: September 28, 1998