E-Mail Order Form | ||
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Please note that while our secure server in our web store is secure, e-mail transmission of your order is not a secure transaction, and no data encription or security will occur when you submit this form by e-mail. We feel that the risks involved in submitting orders via the Internet are minimal, but we will also process orders by mail, facsimile, or telephone if you are uncomfortable sending this information over the Internet.
We usually turn orders around within approximately 24 hours of receipt of your payment.
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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