last update: 12 January 2004
=USA OrderForm=
Information marked
must be supplied
CREDIT CARD BILLING ADDRESS:
SHIPPING ADDRESS
(if different from billing address):
Name
Name
Address 1
Company (optional)
Address 2
Address 1
City
Address 2
State
City
ZipCode
State/Prov.
Telephone
Postal/Zip Code
Fax
Country
E-mail
Telephone
CREDIT CARD INFORMATION:
Cardholder Name:
Signature:
(required on fax/mail orders)
Type:
MasterCard
VISA
American Express
Discover
Number:
Expiration Date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2004
2005
2006
2007
2008
2009
ORDER:
Qty.
Description
Order Code
Price
Total
Subtotal:
$:
Ship Method:
XpressPost-USA (approx. 4 to 6 business days)- from $14
AirborneExpress (next day)- from $24
Other (explain below)
Estimated Shipping Cost (See
shipping chart
)
You will be notifed of actual cost, if higher.
$:
Total:
$:
Please enter any special instructions concerning your order in this box:
INSTRUCTIONS:
To order, fill in and print out the above form. Then fax or mail it to the address shown below (Attn.: Order Department):
Technological Arts, #301 - 533 College St., Toronto, Ontario, Canada M6G 1A8
Toll-free: 1-877-963-8996 (USA and Canada) Phone: (416) 963-8996 Fax: (416) 963-9179
www.technologicalarts.com
©2004
Technological Arts