| Canadian Gift Shop Order Form Print this form on your printer
Orders paid by Check or Money Order must be accompanied by payment. To pay by Credit Card fill out the Credit Card Information section below and Fax your order to 519 738-3539. |
Credit Cards
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****** ORDERED BY ******* ****** SHIP TO ******* (If different)
NAME: ________________________ NAME: ________________________
Street: ________________________ Street: ________________________
City: ________________________ City: ________________________
State/Province:________________________ State/Province:________________________
Zip/PostalCode: _____________________ Zip/PostalCode: _____________________
Voice Phone: ________________________ Voice Phone: ________________________
Fax: ________________________ Fax: ________________________
Email Address: ________________________ Email Address: ________________________
** Merchandise Order **
PRODUCT NUMBER PRODUCT NAME COLOR/SIZE/STYLE HOW MANY? PRICE TOTAL FOR
PRODUCT
______________ ___________________ _______________ _________ _______ _________
______________ ___________________ _______________ _________ _______ _________
______________ ___________________ _______________ _________ _______ _________
______________ ___________________ _______________ _________ _______ _________
______________ ___________________ _______________ _________ _______ _________
______________ ___________________ _______________ _________ _______ _________
PRODUCT TOTAL: _________
Canadian Customers GST 7% _________
Ontario Customers PST 8% _________
*** SHIPPING & HANDLING CHARGES USA and Canada only***
IF YOUR PRODUCT TOTAL IS |
For Order sent outside of the USA or Canada, Please contact us for shipping costs.
Les Than $24.99 ........ ADD $10.50 |
$25.00 TO $49.99 ........ ADD $14.50 | --> SHIPPING & HANDLING: _________
$50.00 TO $74.99 ........ ADD $17.50 |
$75.00 TO $99.99 ........ ADD $19.50 |
$100.00 OR MORE ......... $23.50 | TOTAL: _________
Credit Card Information (Optional - complete only if paying by Credit Card) Card Type: __________ Card Number: ______________ Card Expiry (eg. MM/YY):___________
Cardholder Name: ___________________ Card Holder Signature: __________________
Mail your order to |
Credit Card Only |
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