Mail to:
Candlelighters Childhood Cancer Foundation Canada
55 Eglinton Avenue East, Suite 401
Toronto, Ontario M4P 1G8
Phone: (416)489-6440
Fax: (416)489-9812
(Please print)
Name:_________________________________________________________________
Address:______________________________________________________________
_____________________________________________________________________
City/Prov.:_____________________________________________________________
Postal Code:________________________ Telephone:___________________________
| Order Amount: $____________________ Shipping and Handling Canadian orders add 5%______________ Foreign orders add 15%______________ Subtotal: $________________________ plus GST 7% ______________________ Final Total:$_______________________ |
(Check one) ____ Enclosed is my cheque to Candlelighters Canada ____ I would like to charge my purchase to: ____ Visa ____ Mastercard Card No.:_______________________________ Expiry Date:____________________________ Signature:______________________________ |
| Candlelighters accepts Purchase Orders from hospitals and organizations. Formal Purchase Orders must be mailed or faxed. All other orders must be prepaid, including shipping and handling charges. Please note: All prices subject to change without notice. |
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