Mail-Order FormAlternate SourcesP. O. Box 19591-501 55 Bloor Street West Toronto, Ontario M4W 3T9 | ||
| | | | Previous| Help | Next | Home | |
We usually turn orders around within approximately 24 hours of receipt of your payment.
Salutation:
Your Name:
Visa Card Number:
(please note that we CANNOT accept MasterCard)
Expiry date:
Issuing Bank:
Please note that, due to foreign exchange restrictions, if you are ordering by credit card from anywhere other than Canada, the currency in which you order will be converted to Canadian dollars, which will then be charged to your account. Due to fluctuations in exchange rates, when you receive your credit card bill from your bank, you may notice a small increase or decrease from the amount converted at the time the invoice was created. This is normal for international transactions.
GST Number:
PST Number:
Personal information
Address where card is registered:
Company:
Suite/P. O. Box:
Street:
City:
Postal Code:
Country:
Telephone:
Facsimile:
E-mail:
Additional information (if required):
Shipping address (if different from above)
Item:
Price:
Tax (where applicable):
Shipping:
Tax (on shipping, Cdn. only):
Item:
Price:
Tax (where applicable):
Shipping:
Tax (on shipping, Cdn. only):
Item:
Price:
Tax (where applicable):
Shipping:
Tax (on shipping, Cdn. only):
Item:
Price:
Tax (where applicable):
Shipping:
Tax (on shipping, Cdn. only):
Item:
Price:
Tax (where applicable):
Shipping:
Tax (on shipping, Cdn. only):
Total:
to 1751041 visitors | | Copyright © 1996-2008 | Alternate Sources |