Special Electronic Order Form

Please submit the Secure Order form online or print &
Order Form
Date of order:
Name:
Department:
Title:
Company:
Shipping Address
 
City/Province/Postal Code
E-mail:
Phone: Fax:
Billing Address
(Same as on Credit Card)
 
City/Prov/Postal Code
Purchase Order # Personal orders prepaid by check Invoice Company
Credit card type Visa Mastercard Amex
Credit card # Expiration date:
Name on credit card: 3 digit code
Wall Calendar (Available Oct.1)
Qty:
Price:..
Total:
Desktop (English)
Qty:
Price:..
Total:
Desktop (Bilingual English/French)
Qty:
Price:..
Total:
Yearly Planners
Qty:
Price:..
Total:
Electronic Calendar (English/French/Spanish)
Qty:
Price:..
Total:

Number of Employees:

          
Subscription for which year/years          
English          
French          
Spanish          
         
         
   
   
   
Add Company Dates    
Regular Calendar (no logo)    
 
Shipping & Handling (refer chart):
 
No tax:
 
Subtotal:
  Total payable

Special instructions: In the box write pricing quoted, 1 or 3 yr subscription, number of paper calendars being added

How did you hear about us? Web Calendar Friends

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Any information you send is kept strictly confidential. We do not sell names or mailing lists