 
|
| Quantity: |
Purchase Order#: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Please choose your preferred method of shipping.
|
|
Ground |
$0.00 |
|
3 day |
$2.95 |
|
2 day |
$3.95 |
|
Overnight |
$4.95 |
|
P1Overnight |
$19.95 |
|
P1 Saturday |
$39.95 |
|
|
|
Card Holder Signature X__________________________________________________
|
|
|
Print, Complete and fax this order to 1-613-599-8120
|
|
|
|