Documents Order Form

Name:__________________________________________________________________

Address:________________________________________________________________

City:__________________________ Province: _____________ Postal Code:__________

Tel.: _______________________________ E-mail: _____________________________

Name of document(s)

1._______________________________________________________

2._______________________________________________________

3._______________________________________________________

4._______________________________________________________

5._______________________________________________________

Cost ___________ + $4.00 * (shipping in Canada) + 5% GST/HST = $___________

Payment method

Cheque enclosed: _____

Purchase order: ______________

VISA
Card Number: ___________________________________

Expiry date: ________________

Mastercard
Card Number: ___________________________________

Expiry date: ________________

Signature:_____________________________

Signature required for VISA and Mastercard purchase
GST Reg # 10686 5736 RT0001
* Shipping cost could be more than $4 per order, depending on weight.