KozaK Order Form





City:                                              Province/State:                            

Country:                                        Postal/Zip:                                   

E-mail (optional)                                                                                 

I would like          KozaK AutoDryWash Cloth(s) at a cost of $16 CDN/ $11 USD (please circle one) each for a total of ____ CDN$/USD (please circle one). Prices include shipping. Canadian price also includes applicable taxes.

Mail this form with payment to:

Allan Lewis Enterprises
449479 Tenth Line
RR#2, Singhampton, Ontario
Canada, N0C-1M0

Please make cheques or money orders payable to Allan Lewis.

Your order will be shipped within one business day but please allow 1 to 4 weeks for delivery by the Post Office. 

Thank You!