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ORDER FORM:
We thank you for your business!
Name: __________________
Address: __________________
__________________
__________________
__________________
Shipping Address:
__________________
__________________
__________________
__________________
  Item Code Item Description Quantity Item Price Total Price
1.       $  $ 
2.       $  $ 
3.       $  $ 
4.       $  $ 
5.       $  $ 
6.       $  $ 
7.       $  $ 
8.       $  $ 
9.       $  $ 
10.       $  $ 
GST and PST for customers from Ontario of Canada, GST for other provinces or territories of Canada, HST for customers from New Brunswick, Newfoundland or Nova Scotia of Canada, for customers from US or other countries no GST, PST an HST.
Payment by:
Cash   Cheque   Money Order  
Credit Card  
Card Type:
To send this form by mail or fax, on printed copy please add next information:
Card Number: ___________________
Expiration Date: ___________________
Signature: ___________________
Subtotal
GST 6%
PST 8%
Shipping
Total $CAD
 
  (All payments in Canadian Funds)
Contact Information:
Name:_____________
Tel:_______________
Fax:_______________
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