FOREST CITY SURPLUS CANADA - PRODUCT ORDER FORM
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Simply use "File / Print" to print this form...
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   We ship worldwide via UPS or Parcel Post.
      The minimum order we can ship is $24.00, please confirm with us that the
      products you require are in stock BEFORE you mail a money order.
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To order desired products, please print out the following form and FAX or MAIL to Forest City Surplus.
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Order Form (please type or print clearly)

Your Name _________________________________________________________
Company Name ______________________________________________________
Shipping Address __________________________________________________
City _________________________________
Province or State _________________________
Country ______________________________     Postal or Zip Code ____________________
Email Address ________________________________________________________________
Phone Number (_____) ______-________  Fax Number (_____) ______-_________
Products Requested (Please type or print clearly)

                                                    Canadian
      Qty     Model Number      Description or Size         Price      Subtotal
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             (minimum subtotal we can ship is $24.00)               Subtotal  $ -----------


                  Ontario Residents add Prov sales tax (8% of subtotal ) $ -----------


                                           Shipping & Handling  $ -----------


            Canadian Residents add GST tax (7% of subtotal + shipping)  $ -----------
  
  
                                  (Canadian Dollar) FINAL TOTAL  $ ____________

International Customers - please note: The Canadian government does not charge tax on items shipped outside
of Canada, however you are responsible for any taxes or import duties that may be charged by YOUR government.
  
We accept VISA, MASTERCARD, or Money Orders in Canadian or U.S. currency
(please do not send cash or checks)


Credit Card Number ______________________________________       CVN _________


Expiry Date ___________/___________


Name as it appears on card _____________________________


Signature ____________________________


Today's Date _________________________

(Your credit card will not be charged until the day your order is ready for shipping.)

Forest City Surplus Canada
1712 Dundas Street
London, Ontario, Canada  N5W3E1
E-Mail address  -           (easy way to contact us)

Voice Phone     -  1-519-451-0246                          (touchtone phone required)

Internet Order Line   -  1-877-393-0056                               

Fax Line   -  1-519-451-9341                                   (on 24 hours per day)


THANK YOU !