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Order by Fax: 1-250-418-8934 - Order by Mail: Send form & payment to

2742 Cavendish Ave,                       Tyee Tackle is a Division
Victoria, B.C Canada                          of 681057 BC Ltd.
V8R 2G8

Sold To:

Name___________________________________________________________________

Address________________________________________________________________

Address________________________________________________________________

City___________________Prov./State__________Country________ZIP_________


Payment By Credit Card: Visa______ MasterCard______ or

Check or INTERNATIONAL Money Order attached ____________.

Card Number: /__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/

Expiration Date: /___/___/

Signature___________________________________________ Date_________________

To process your order quickly and efficiently we require a phone number.

Day:(   )-______________ Night (   )-_____________  E-Mail ___________________.

Item No/Qty/Color/Size/Description                             Price Ea.  Total

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(Shipping Charges 		 	)		Subtotal   ____________
(Orders up to $10.00 add $4.00         	)
(  $10.01 to $20.00 add $5.00          	) Can. Res add 6.00% GST   ____________
(  $20.01 to $50.00 add $6.50          	)
(  $50.01 to $100.00 add $10.50		) BC. Res add 7.00% PST	   ____________
(  $100.01 to $200.00 add $15.50	)
(  $200.01 to $300.00 add $20.50	)	        Shipping   ____________
(  Over $300.00 - Free          	)
							Total	   ____________

Note - Above shipping charges do not apply to Weight Molds nor Laketroller 
Downriggers. Please contact us directly for exact shipping charges when ordering 
aforementioned items.

Payment must be in US Funds (checks on a US bank or major Credit Card).
Shipment is by Canada Post Airmail