order form - Foothills Library Solutions
ORDER FORM
1.
SHIP TO
BILL TO
Name
Name First
Last
First
Title Organization Street
Last
Title Organization Street
City Phone Email
Prov Fax
City Phone Email
Postal
Prov Fax
Postal Code
Yes! I wish to receive emails with special offers and new product info
2. METHOD OF PAYMENT
CREDIT CARD INFORMATION
Purchase Order P.O.#
*For credit card orders, the “Bill To” address must be the address on your statement.
VISA
Date
MASTERCARD
Authorizing Signature Confirming Order
Account Number
Expiration Date
Bill Existing Account Cardholder’s Organization (if applicable)
Credit Card* (fill info at right) Check Enclosed (prepaid order)
Cardholder’s Name (First)
(Last)
Open New Account No C.O.D.s please
Authorizing Signature
Street or P.O. Box (must match card’s billing address)
City
3.
Item Number
Product Description
Quantity
Province
Colour/Style
Unit Price
Postal Code
Total Price
Subtotal
4.
DELIVERY INSTRUCTIONS Deliver between: _______ & _______ Standard Delivery Service: End of truch delivery onto receiving dock only Deluxe Delivery Service: Inside first set of doors with liftgate service* Call before delivery*
Applicable Taxes Estimated Shipping Charges (Actual charges will be billed)
Total Thank You!
Contact Name: __________________ Contact Number: _______________
Foothills Library Solutions, 5613 Burbank Rd SE, Calgary AB, T2H 1Z5 Call 1 800 465 5759 | Visit foothillslibrary.ca | fax 403 252 9850 | email [email protected]
ORDER FORM Photocopy this page for multiple forms. Item Number
Product Description
Quantity
If you are faxing more than one page please complete this section. Name First
Unit Price
Total Price
Subtotal Applicable Taxes
Last
Title Organization Street City Phone Email
Colour/Style
Estimated Shipping Charges (Actual charges will be billed)
Total Prov Fax
Postal
Thank You!
Yes! I wish to receive emails with special offers and new product info
Foothills Library Solutions, 5613 Burbank Rd SE, Calgary AB, T2H 1Z5 Call 1 800 465 5759 | Visit foothillslibrary.ca | fax 403 252 9850 | email [email protected]
1.
SHIP TO
BILL TO
Name
Name First
Last
First
Title Organization Street
Last
Title Organization Street
City Phone Email
Prov Fax
City Phone Email
Postal
Prov Fax
Postal Code
Yes! I wish to receive emails with special offers and new product info
2. METHOD OF PAYMENT
CREDIT CARD INFORMATION
Purchase Order P.O.#
*For credit card orders, the “Bill To” address must be the address on your statement.
VISA
Date
MASTERCARD
Authorizing Signature Confirming Order
Account Number
Expiration Date
Bill Existing Account Cardholder’s Organization (if applicable)
Credit Card* (fill info at right) Check Enclosed (prepaid order)
Cardholder’s Name (First)
(Last)
Open New Account No C.O.D.s please
Authorizing Signature
Street or P.O. Box (must match card’s billing address)
City
3.
Item Number
Product Description
Quantity
Province
Colour/Style
Unit Price
Postal Code
Total Price
Subtotal
4.
DELIVERY INSTRUCTIONS Deliver between: _______ & _______ Standard Delivery Service: End of truch delivery onto receiving dock only Deluxe Delivery Service: Inside first set of doors with liftgate service* Call before delivery*
Applicable Taxes Estimated Shipping Charges (Actual charges will be billed)
Total Thank You!
Contact Name: __________________ Contact Number: _______________
Foothills Library Solutions, 5613 Burbank Rd SE, Calgary AB, T2H 1Z5 Call 1 800 465 5759 | Visit foothillslibrary.ca | fax 403 252 9850 | email [email protected]
ORDER FORM Photocopy this page for multiple forms. Item Number
Product Description
Quantity
If you are faxing more than one page please complete this section. Name First
Unit Price
Total Price
Subtotal Applicable Taxes
Last
Title Organization Street City Phone Email
Colour/Style
Estimated Shipping Charges (Actual charges will be billed)
Total Prov Fax
Postal
Thank You!
Yes! I wish to receive emails with special offers and new product info
Foothills Library Solutions, 5613 Burbank Rd SE, Calgary AB, T2H 1Z5 Call 1 800 465 5759 | Visit foothillslibrary.ca | fax 403 252 9850 | email [email protected]
