CLICK HERE FOR ONLINE ORDER FORM

FAX ORDER FORM
PLEASE PRINT A COPY, FILL OUT
AND FAX TO 705-327-5281

Payment may be made by Visa, Mastercard, American Express, Cheque or Money Order. Credit terms available to approved accounts.
No minimum order size.
Orders under $100.00 add $8.00 handling. Shipping charges extra at cost.
New York State residents please add Sales Tax. Prices shown are in US Dollars

Name..............................................................................................................................................................

Street Address or Mailing Address...................................................................................................................

City..........................................................................State.................................Zip Code................................

Telephone No.....................................Fax No..................................email.........................................................

Payment method (circle) ........... Visa.......... Amex..... Cheque....... M.O.........

Card No............................................................................. Expiry........................

Cardholder's Name........................................................................................................................

Please list items you wish to order
Part No.	Description	Quantity	Unit Price	Total
			TOTAL

Signature......................................................................................
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