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1. PURCHASER INFORMATION | |||||||||
Contact name/purchaser | Company/organization | ||||||||
Shipping address | |||||||||
Business address | |||||||||
Telephone no. | E-mail address | ||||||||
2. PAYMENT METHOD | |||||||||
Credit card* | Cheque/money order | ||||||||
Bank-to-bank transfer | Request for quotation/pro forma | ||||||||
*credit card information is only accepted by telephone | |||||||||
3. ORDER INFORMATION | |||||||||
Name of Reference Material | # of Units | Unit Cost ($CAD) | Total Cost ($CAD) | ||||||
Transaction fees: Rush order $50 CAD | |||||||||
Total cost of reference materials (applicable taxes extra) | |||||||||
Purchase order no. (if applicable) | GST or PST exemption no. (if applicable) | ||||||||
Shipping Charges: Purchaser to provide: | |||||||||
4. SPECIAL SHIPPING INSTRUCTIONS | Please send orders to: Sales Officer, CCRMP | ||||||||