Mail-Order Form

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P. O. Box 19591-501
55 Bloor Street West
Toronto, Ontario M4W 3T9
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Order information

To submit an order by mail, simply copy the contents of this form into your your favourite word processor, fill in the blanks, and mail it to us at the above address with your payment. Your payment should be in the form of a Canadian, U.S., or Sterling cheque, and International Money Order, or credit card information, as outlined below. We would appreciate your sending cheques or money orders, they make life much easier for us.

We usually turn orders around within approximately 24 hours of receipt of your payment.


Contact Information

Salutation:
Your Name:
Visa Card Number:
(please note that we CANNOT accept MasterCard)
Expiry date:
Issuing Bank:

Please note that, due to foreign exchange restrictions, if you are ordering by credit card from anywhere other than Canada, the currency in which you order will be converted to Canadian dollars, which will then be charged to your account. Due to fluctuations in exchange rates, when you receive your credit card bill from your bank, you may notice a small increase or decrease from the amount converted at the time the invoice was created. This is normal for international transactions.

GST Number:
PST Number:


Personal information

Address where card is registered:

Company:
Suite/P. O. Box:
Street:
City:
Postal Code:
Country:

Telephone:
Facsimile:
E-mail:


Additional information (if required):


Shipping address (if different from above)


Item:
Price:
Tax (where applicable):
Shipping:
Tax (on shipping, Cdn. only):

Item:
Price:
Tax (where applicable):
Shipping:
Tax (on shipping, Cdn. only):

Item:
Price:
Tax (where applicable):
Shipping:
Tax (on shipping, Cdn. only):

Item:
Price:
Tax (where applicable):
Shipping:
Tax (on shipping, Cdn. only):

Item:
Price:
Tax (where applicable):
Shipping:
Tax (on shipping, Cdn. only):

Total:

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