PLEASE PRINT A COPY, FILL OUT
AND FAX TO 705-327-5281 or TELEPHONE 705-326-9205
Payment may be made by Visa, Mastercard, American Express, Cheque or Money Order. Credit terms available to approved accounts.
Please Note
$15.00 PROCESSING CHARGE ON ORDERS TOTALLING LESS THAN $75.00
Before Shipping Charges
SALES TAX EXTRA ON ORDERS SHIPPED TO NY STATE. - PRICES SHOWN ARE IN U.S. DOLLARS
Shipping charges extra at cost.
Name..............................................................................................................................................................
Street Address or Mailing Address...................................................................................................................
City..........................................................................State.................................Zip Code................................
Telephone No.....................................Fax No..................................email.........................................................
Payment method (circle) ........... Visa.......... Amex..... Cheque....... M.O.........
Card No............................................................................. Three-digit security code................... Expiry........................
Cardholder's Name........................................................................................................................
Signature......................................................................................
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(Updated JANUARY 2017)
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