|
|
|
|
Members: _____ copies @ $75.00 |
|
|
Non-members: ____ copies @ $90.00 |
|
|
TOTAL |
|
|
Shipping and handling GTA $15.00
Ontario $20.00
Canada/U.S. $30.00 |
|
|
+ 6% GST
+ 8% PST |
|
|
GRAND TOTAL |
|
|
Name |
____________________________________________ |
|
Title |
____________________________________________ |
|
Company |
_______________________________
|
|
Address
City, Prov
Postal Code |
___________________________________________
______________________________________ |
|
|
|
|
Tel
Fax
Email |
________________________
________________________
____________________________________________ |
|
|
|
|
|
Members
|
____ Charge to my Board Account for member discount
Account #: _________________
|
|
|
Member's signature____________________________
|
|
Non-members |
Charge to my credit card:
___ VISA
___ Mastercard
Card No: __________________________ Expiry_________
____________________________________________
Cardholder's signature |
Total no. of employees (approx.) in your organization _______
How did you hear about this product? _____________________________
| 
