Head
Office:
1235 Bay Street,
Suite 1000,
Toronto,
ON Canada
M5R 3K4
Tel: 416 961 8330
Fax: 416 961 3890
WHEN
FAILURE IS NOT AN OPTION...
Order
Form
$6.50
US/$9.95
Can.
plus shipping + applicable taxes.
Price
per Unit
#
of
Units
1 - 50
51 -200
201-400
401-600
Can
$
$9.95
$9.75
$9.56
$9.36
US
$
$6.50
$6.37
$6.24
$6.12
Shipping
$ $7.50
$13.50
$25.50
$37.00
Shipping
(Canada/U.S.A.) is quoted per order and not per unit. Subject to
applicable taxes.
In Canada, please add 7% GST.
In Ontario, please also add 8% PST
Full
Name:
Company:
Address:
City:
Prov/State:
Postal/Zip
Code:
Day
Time Phone No.:
VISA/MasterCard
No.:
Expiry
Date:
Total
# of Units:
Total Amount:
Card
Holder Name:
Signature:
Print
and fax form to 416-961-3890 of immediate shipment.
Or you can mail your payment with this form to: AdlerTech International Inc.
1235 Bay Street, Suite 1000. Toronto, ON. Canada M5R 3K4.