QTY	WELL-NAME	LOCATION (LSD)	SWT/SOUR
Example:	LEAHURST	104/10-03-038-18W4/00	Sweet
1.			--Select-- Sweet Sour
2.			--Select-- Sweet Sour
3.			--Select-- Sweet Sour
4.			--Select-- Sweet Sour
5.			--Select-- Sweet Sour
6.			--Select-- Sweet Sour
7.			--Select-- Sweet Sour
8.			--Select-- Sweet Sour
9.			--Select-- Sweet Sour
10.			--Select-- Sweet Sour
11.			--Select-- Sweet Sour
12.			--Select-- Sweet Sour
13.			--Select-- Sweet Sour
14.			--Select-- Sweet Sour
15.			--Select-- Sweet Sour

* EMERGENCY NUMBER :

POSTS & HARDWARE
Quantity	Type   --Select-- 5 ft 6 ft 8 in 8 ft 8 ft Heavy Duty
Hardware Only

Additional Information / Comments

* Please be as complete as possible

		BILLING
	* Company Name
	PO or AFE #
	Charge Code
	* Contact Name
	* Email Address
	* Phone and Fax
	* Invoicing Address
	Address (cont.)
	City
	Province
	Postal Code

	SHIPPING
* Attention
* Courier	--Select-- Loomis Cdn. Freightways Greyhound Purolator Hi-Way 9 Priority Post JP Express (Calgary Only) --Select-- Pre-Paid Collect Pick-Up
Phone
* Street Address
* Address (cont.)
* City
* Province
* Postal Code