Box Cars & One-Eyed Jacks 6516 - 68 Avenue NW Edmonton, Alberta, Canada, T6B 3M3 Phone: (780) 440 6284 Fax: (780) 440 1619 Toll Free: 1-866-DICE FUN Email: boxcars@planet.eon.net Website: www.boxcarsandoneeyedjacks.com

Order by Mail, Phone, Fax or Email

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Back ordered item(s) may be substituted with item(s) of equal or greater value.

Make checks payable to: Box Cars and One-Eyed Jacks Please allow 2-4 weeks ALL ORDERS MUST INCLUDE A PHONE NUMBER

SHIPPING RATES Orders $ 00.00 - $ 60.00 add $7.00 Orders $ 60.01 - $125.00 add 17% Orders $125.01 - $300.00 add 14% Orders $301.01 - $649.99 add 12% Orders $650.00 and up will be sent UPS only. GST# 135980407

Subtotal $_______.___ Shipping $_______.___ Handling $_______5.00 GST/HST $_______.___ (if applicable)XXXXXXXXX TOTAL $_______.___