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Product Order Form

Please complete every required field below so we can pack and ship your order this week.

Products

Cotton tee product cutout — rawpixel via Openverse, CC0
Cotton Tee
$24.00
Quantity
1
Crew sweater product cutout — rawpixel via Openverse, CC0
Crew Sweater
$58.00
Quantity
1
Canvas shoes product cutout — rawpixel via Openverse, CC0
Canvas Shoes
$76.00
Size
9

Colour

Product Order Form

HARBOUR & PINE
supply co.
HARBOUR & PINE LTD 418 Wharf Street, Portland, ME 04101
orders@harbourpine.co
(207) 555-0146

Customer details:

First Name
Last Name

Full Name *

As printed on the card

Address *

Street Address

New Client Intake Form

Course Signup Form

Fill the form in carefully — seats are confirmed in the order they are received.

Student Name

First Name
Middle Name
Last Name

Birth Date

Month
Day
Year

Cohort

Please select

Address

Street Address

Course Signup Form