| Northern Tech Diver.com Printable Order Form | Date:_____________ |
To Fax a order to NorthernTechDiver.com, simply print this form using your Browser. Completely fill out the form and fax to (613) 634-8135 .
Orders may also be sent via Regular Mail
to:
Northern Tech Diver
4052 Bath Rd
Kingston, Ontario, Canada
K7M 4Y4
Attn: Order Dept.
Customer Information First name ________________________ Last name ________________________ Street address ________________________ City ________________________ State/Province_____________ Zip/Postal code ________________________ Country __________________ Work Phone ________________________ Home Phone_______________ ________________________
Please provide the following product information. QTY
PRODUCT NAME
DESCRIPTION PRICE ______ __________________ _______________________________ ___________ ______ __________________ _______________________________ ___________ ______ __________________ _______________________________ ___________ ______ __________________ _______________________________ ___________ ______ __________________ _______________________________ ___________
TOTAL __________
Shipping & Handling (Shipping charges will be calculated on receipt of order) __________
Ontario residence add 8% sales tax + 7% GST __________Grand Total __________
BILLING INFORMATION Note: We only ship to the billing address. Credit card Visa, MasterCard, AMEX (Circle One) Cardholder name
______________________ Card number
______________________ Expiration date
______________________
Street address ___________________ City ___________________ State/Province__________ Zip/Postal code ___________________ Country_______________
Comments Or Special Instructions:
Printable Order Form Instructions:
1) Print this form using your Browsers Print Feature.
2) Fill the form out completely.
3) Either Fax or Mail the form to us. ( The fax number and address are at the top of this page).
4) If you are paying by check or money order... Send payment to the address above. Note: We cannot process your order until payment is received. Upon receipt of your order we will send you a detailed invoice that includes all products and shipping and handling.
Thank you for shopping NorthernTechDiver.com, we look forward to serving you in the future.
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