1183 Finch Ave West #202, Toronto, Ont., M3J 2G2 Canada
Tel: (416) 256-4896; Fax: (416) 256-4393
*Your Name:
*Your Email:
Attention:
Simon Beker
Candy Box Order Form:
*First Name:
*Last Name:
Company:
*Address:
*City:
Post Code:
*Phone:
Ext.:
Bus.Phone:
Ext.:
Cell Phone:
Fax:
*Quantity (boxes):
Price List:
Design $30 +
Quantity (boxes)
1 - 40
41 - 90
91 - 240
241 - 490
491+
Price/1 box
$49.99
$35.99
$27.99
$19.50
$17.50
Price:
$
Design:
$
GST:
$
Total:
$
Comments:
*Method Payment
Cheque
Credit Card
Cash
Credit Card number:
Expired:
All the fields with
*
are required
