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QJ Cloth Baby Diapers
8540 10th Avenue
Montreal, Quebec
Canada H1Z 3B6
Tel: (514) 725-9898 Eastern Time

 

 ORDER FORM For Canadian residents only

DESCRIPTION

Price

Quantity

Total Order

QJ Cloth Baby Diapers
(minimum order six diapers)

$9.95 each

QJ Cloth Inserts
(minimum order six inserts)

$2.25 each

Step 1: Fill out order
Step 2: Print this form
Step 3: Mail form to us

Note: Card Number MUST be filled
out manually followed by a signature

Other or Subtotal

Shipping & Handling

$14.95

@HST 15% for NB, NS, & residents

@GST 7%

@QST 7.5% for Quebec residents

(In Cdn funds) Total Cost:

OR

Please send 1 QJ Cloth Baby Diaper with Shipping & taxes included for the price of $17.95 Cdn.

Payment Method:


CardNumber:____________________________________Expiry date:___________

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Signature: ____________________________________________


QJ is a registered Trademark