Fax Order Form
Please Fax your orders to (905) 334-7285

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Product Type:
Your Name:
Your E-Mail:
Street Address:
Street Address:
City:
Province/State:
Country:
Postal/Zip Code:
Telephone:  
 
Product Name1:
Product Code1:
Quantity1:        Price:
 
Product Name2:
Product Code2:
Quantity2:        Price:
 
Special
Instructions:
 
Please Note:
  1. All products will be shipped by ground unless otherwise noted in the special instructions above.
  2. Taxes will be applied where applicable.