Jake Thomas Learning Centre Order Form

Name   

Date

                
Address     
Province/State    Country                             
Phone   Postal Code  
Item Number Description Quantity Unit Price Total
         
         
         
         
         
         
         
         
         
         
         
         
  Sub Total  
Payment Cheque/Check   Postage/Handling  
  Money Order    Total for Order  

Make Cheque/Check or Money Order Payable to: Jake Thomas Learning Centre

Mail to:

The Sandpiper Press
c/o The Jake Thomas Learning Centre
R.R.1, Wilsonville, Ontario, Canada 
N0E 1Z0

Phone:  519-445-0779
Fax:      519-445-0802
e-mail:              jtlc@worldchat.com
Website:  http://tuscaroras.com/jtlc

 Please print this form and include it with your order.

Onen