KEENER WIENER Order Form "Satisfaction Guaranteed" *************************************************** * Print this order form and send it to: * * Greenway Originals * BOX 57030 * Eastgate Postal Outlet * Sherwood Park, Alberta * T8A 5L7 * CANADA * * Make money order payable to * "Greenway Originals" * *************************************************** Name: ______________________________________ Address: ______________________________________ _________________________________________ City: ___________________State/Province:________ Zip/Postal Code: _______ Country: ________________ Phone: (_____)-________________________________ *************************************************** *************************************************** 1) Keener Wiener Rotisserie Stick, Classic Quantity: ________ x $19.95 CAD = _________ 2) Keener Wiener Rotisserie Stick, Signature Series Quantity: ________ x $49.95 CAD = _________ 3) Keener Clubpac (Ten Classics) Quantity: ________ x $179.50 CAD = _________ Shipping & Handling = $40.00 CAD Total (CAD) = _________ ***************************************************