345, 19-2555 Victoria Park Avenue Scarborough, Ontario   J   M1T 1A3  J  Canada E-mail: sales@buriedantiques.com

PURCHASE ORDER

To:                                                                                    Ship to:
Name:                                                                                                             Name:

Address:                                                                                                       Address:

City, State ZIP/Postal Code:                                                                      City, State ZIP/Postal Code:

Phone:                                                                                                           Phone:

E-mail:  

Please send a copy of purchase order form with a cheque or money order in US funds payable to Buried Antiques.

Send all correspondence to:
admin@buriedantiques.com

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