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ORDER FORM<br />

FORMULE DE COMMANDE<br />

To: Superintendent of Publications,<br />

Department of Public Printing and Stationery,<br />

Ottawa, Ontario, Canada.<br />

Au: Surintendant des Palications de l'État,<br />

" Département des Impressions et de la papeterie publiques,<br />

Ottawa, Ontario, Canada.<br />

19_<br />

, Name:<br />

Nom<br />

Street Address_.<br />

Adresse de rue<br />

City, Zone and `Pr`Ovince<br />

Ville, zono et province<br />

When ordering publications, please glve catalogue<br />

number and title of the publication also tho quantity<br />

desired and amount of the remittance.<br />

Les clients sont priés d'Indiquer clairement, avec<br />

chaque commande, les numéros du catalogee, les<br />

,• titres des publications •de même - que , la quantité<br />

désirée et le montant total de la remise.<br />

HUMÉRO DU;<br />

CATALOGUE;<br />

NUMBER .<br />

QUANTITY<br />

DESIRED<br />

QUANTITÉ .<br />

TITLE OF PUBLICATION ,<br />

• .- TITRE DE•LA PUBLICATION .•<br />

AMOUNT<br />

•MONTANT<br />

For additional space use other sicle.<br />

Voir au verso•pour espace additionnel.<br />

•<br />

Orders must be pUid in advance.<br />

Les commandes sont payables d'avance.<br />

1Total, $

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