Evangeline Canoe
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Order Form

Ron Chapman-Shipwright, Inc.
P.O. Box 27 -
Chalmette, LA 70044



Product
Number Price Total
Evangeline Canoe
(Canoe comes with Standard Cain Seats & Thwart)
  $595.00  
Cain or Webbed Seats (Set)   $45.00  
Seat Backrest   $25.00  
Standard Thwart   $19.00  
Standard Yoke   $25.00  
Padded Ash Yoke   $70.00  
Handle   $10.00  
Foam Car Carrier   $25.00  
    __________  
  SubTotal    
  Packing $25.00  
  Shipping    
  Total    
VISA MasterCard American Express Discover Card Checks

Payment Details :
   Credit Card: Visa   M'card   Amex   Discover  Bank Check, Payable: Ron Chapman, Shipwright, Inc.
Name on Card: ___________________________________________________
Card No: | __| __| __| __| |__ | __| __| __| | __| __| __| __| | __| __| __| __| Expiry Date: | __| __| / | __| __|

Signature:
_________________________________________________
Name: __________________________________________________________
Address: ________________________________________________________
City/State/Zip: ____________________________________________________
Phone Number: ___________________________________________________

Thank you for your order!

Ph: (504) 277-6526   E-mail: steve@pirogue.com

Last revised:
CopyrightŪ, 2000-2010-Ron Chapman, Shipwright, Inc.
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