Musée des Acadiens des Pubnicos - BOUTIQUE
 Société historique
acadiennede Pubnico-Ouest C.P. 92 Pubnico-Ouest Comté Yarmouth, N.-É. B0W 3S0 902-762-3380 (Tel) 902-762-0726 (Fax) |
Date: | |
| Address: | ||
| City: | ||
| Province/State: | ||
| Code: |
| Item / Description | Quantity | Unit Price | Sub-total | Postage | Total |
| x $ | = $ | + $ | = $ | ||
| x $ | = $ | + $ | = $ | ||
| x $ | = $ | + $ | = $ | ||
| x $ | = $ | + $ | = $ | ||
| x $ | = $ | + $ | = $ | ||
| x $ | = $ | + $ | = $ | ||
| x $ | = $ | + $ | = $ | ||
| x $ | = $ | + $ | = $ | ||
| x $ | = $ | + $ | = $ | ||
| Total | $ |
Please print, fill-out and return form to the Musée des Acadiens des Pubnicos et Centre de recherche with a cheque or money order for the correct amount
(Made payable to the Société historique
acadienne de Pubnico-Ouest)
(U.S. residents please send Canadian funds)