To:
InforShell Technologies Inc.
PO Box 22037
Waterloo, Ontario, N2L 6J7
CANADA

................................................cut and paste on to envelope........................................................
Note: to order quantities greater than 20, please e-mail us for price


ORDER FORM

Please fill out, print and return completed form with payment to the address above

Name

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Description:

Product Code
Quantity
Price
$
Subtotal
$
Tax:
(Canada only)

$
Canada only:
Total:
$

Please make cheques payable to InforShell Technologies Inc.
Full payment is required prior to product shipment.