Maple Syrup Order Form

20th Burlington Scout Group
in
Co-operation with the
Burlington Lions Club

**Royal Winter Fair Award Winning Maple Syrup Products**
Grade A - No. 1 - Light
Item	Size	Price	Quantity
Screw Top Tin	4 litre	$ 52.00
Screw Top Tin	1 litre	$ 16.50
Screw Top Tin	500 ml	$ 9.75
Basquaise Bottle	500 ml	$ 10.50
Maple Leaf bottle	250 ml	$ 9.00
Sugar Shack bottle	250 ml	$ 9.00
Maple Butter	250 ml	$ 7.50
Maple Cream Fudge	250 g	$ 8.50

Please fill in the requested information
so we can contact you when your order is ready
Name:
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email:

Your Contact is

Section
Group

Or if you prefer, print this page and fax it to 905-639-0430

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