Order Form

*** Please read our Conditions of Sale before placing your order ***

Please fill out the information below and click “Submit” to email the form to us. You may also print the completed form and fax to 905.883.6939. We will respond with availability, packing and shipping estimates, and a total amount due.

Payment is due in advance by Paypal, cheque, Money Order or cash mailed at buyer’s own risk.

Name* :

Phone* :

Address* :

Fax :

City* :

E-mail* :

Province/State* :

Date :

Postal/Zip Code* :

Country :

Item Name

Item number

Price

Quantity

Total

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Sub-Total :

$

PAYMENT OPTIONS: (please select one)

Money Order

Cheque

Cash

A confirmation invoice will be sent to you with the amount, the payable and the address in which to submit to.

I have read and agree with the Conditions of Sale

Signature: _______________________