Ron & Helen Daniels Antiques

Established 1973

108 Victoria St. S.
Goderich, Ontario, Canada
N7A 3H9
Phone: 1-519-524-6804
Fax: 1-519-524-1631
E-Mail: info@toysoldiers.com

ONLINE ORDER FORM

Full Name:
Address:
City:
Province/State:
Country:
Zip/Postal Code:
Telephone:
E-mail Address:
Special Shipping Instructions:
	ITEM #	DESCRIPTION	QTY
ITEM 1
ITEM 2
ITEM 3
ITEM 4
ITEM 5
ITEM 6
ITEM 7
ITEM 8
ITEM 9
ITEM 10
ITEM 11
ITEM 12
ITEM 13
ITEM 14
ITEM 15
ITEM 16
ITEM 17
ITEM 18
ITEM 19
(If your order exceeds 19 items please either phone, fax, or e-mail in your order.)
Credit Card:
Cardholder Name:
Card Number:
Expiration Date:

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