CANADIAN ORDER FORM for SIGN IT!

HOW TO ORDER

  1. PLEASE FILL IN ALL BLANKS THAT APPLY THAN PRINT OUT ORDER FORM.
  2. ENCLOSE CHECK OR MONEY ORDER FOR TOTAL $CDN AMOUNT CALCULATED.
  3. PLEASE MAKE CHECKS, MONEY ORDERS, PAYABLE TO: PERMANENT REFLECTIONS
  4. MAIL THE ORDER FORM AND ENCLOSED PAYMENT TO:

PERMANENT REFLECTIONS 206 BROWNING AVE. TORONTO ONTARIO,

CANADA M4K 1X2

ORDER INFORMATION

INSTITUTION:
ORDERED BY:
DEPT:
FIRST NAME:
LAST NAME:
ADDRESS:
CITY,PROV.PC,:
PHONE #:
GAMES WITHOUT BOOK: @ $15.00 EA.:
PST-ONTARIO RESIDENTS: @ $1.20 EA.:
GST-CANADIAN RESIDENTS: @ 6%:
SHIPPING/HANDLING: $10.00/GAME:
TOTAL AMOUNT: $CANADIAN:
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