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With this form you can email your order to us. You can send you artwork along with this form or email it to us later. Artwork should be sent to the following email art@luscangroup.com. Please remember to include your order number in the email as a reference.

Order # Customer PO# Critical Delivery Date Attach Logo/Artwork:

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Additional Information:
e.g. additional information that you would like to imprint on the item, shipping information, etc.

Contact Person Company Phone ext. E-mail Fax

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Shipping Address (if different from billing) Town/City    ZIP/Postal Code State/Province NON US/CANADA ---Canada--- Alberta (AB) British Columbia (BC) Manitoba (MB) New Brunswick (NB) Newfoundland (NL) Northwest Territories (NT) Nova Scotia (NS) Nunavut (NU) Ontario (ON) Prince Edward Island (PE) Quebec (QC) Saskatchewan (SK) Yukon Territories (YT) ---United States--- Alabama (AL) Alaska (AK) Arizona (AZ) Arkansas (AR) California (CA) Colorado (CO) Connecticut (CT) Delaware (DE) Florida (FL) Georgia (GA) Hawaii (HI) Idaho (ID) Illinois (IL) Indiana (IN) Iowa (IA) Kansas (KS) Kentucky (KY) Louisiana (LA) Maine (ME) Maryland (MD) Massachusetts (MA) Michigan (MI) Minnesota (MN) Mississippi (MS) Missouri (MO) Montana (MT) Nebraska (NE) Nevada (NV) New Hampshire NH) New Jersey (NJ) New Mexico (NM) New York (NY) North Carolina (NC) North Dakota (ND) Ohio (OH) Oklahoma (OK) Oregon (OR) Pennsylvania (PA) Rhode Island (RI) South Carolina (SC) South Dakota (SD) Tennessee (TN) Texas (TX) Utah (UT) Vermont (VT) Virginia (VA) Washington (WA) West Virginia (WV) Wisconsin (WI) Wyoming (WY) Country Canada United States United Kingdom Other

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Luscan Group - Suite 628, 101-1001 West Broadway, Vancouver British Columbia B.C. V6H 4E4 Canada, Phone: 604-638-7137
Serving Greater Vancouver & Lower Mainland Area, All Canada & United States (US): Vancouver (BC), Coquitlam, Delta, Burnaby, Richmond, Abbotsford, Maple Ridge
Langley, Port Coquitlam, North Vancouver (BC), West Vancouver (BC), East Vancouver (BC), South Vancouver (BC), New Westminster, Kamloops BC, Victoria BC CANADA
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