(UFFC) UNITED FEATHER & FLOWER CORP.
IMPORTER & WHOLESALER (SINCE 1980)
1021 MEYERSIDE DR. UNIT 4,
MISSISSAUGA, ONT. L5T 1J6, CANADA
TEL: (905) 565-9991, (905) 625-8385, 1800 555-9895, 
FAX: 1866-896-4566 
EMAIL: unitedfeather@hotmail.com WEB SITE: http://www.unitedfeather.com/

SOLD TO: _________________________    SHIP TO: ___________________________
ADDRESS: ________________________   ADDRESS: ___________________________
CITY: _______________PRO: _________    CITY: _______________  PRO: _________
TEL: ______________P.CODE: _________     TEL: _____________  P.CODE: ________
FAX: ______________________ EMAIL: ________________________________

OWNER'S NAME: __________________SHIP VIA:_____________________________
FOB MISSISSAUGA:________________SHIPPING DATE:________________________

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SPECIAL INSTRUCTION:______________________________ TOTAL:_______________

WE ACCEPT CREDIT CARD

BUSINESS PERMIT NO:_________PST NO:________ BUYER’S NAME:______________

VISA/MASTER CARD NO:_______________________SIGNATURE:________________

EXPIRY DATE:______CARD'S NAME:________________OTHER TERMS:____________