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- Order Form - |
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Name: | ||||
Company Name: | ||||
Address: | ||||
City: | State: | |||
Postal Code: | Country: | |||
Telephone: | Fax: | |||
E-mail : | ||||
Payment | VISA | Master Card | American Express | T/T |
Credit Card Number: | Exp. date: | |||
Name on card: | ||||
Billing Address: | ||||
Billing Telephone | Shipping Telephone: | |||
Shipping Method: | Courier Account # (optional): |
Please fill in items you want to order. Leave price and shipping blank if you don't know them. We will fax/e-mail the quotes back to you.
Model | Descriptions | Qty. | Price |
Please calculate the total and fill it here: | |||
Shipping Charge: | |||
HST 12% (if ordering inside Canada): | |||
Subtotal: |
Special Requests: |
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Signature: |
Date: |
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Cavision Enterprises Ltd Tel: 604-298-9053 Fax: 604-298-9051 E-Mail: info@cavision.com |